KENOSHA KIDNEY DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Kenosha, WI. KENOSHA KIDNEY DIALYSIS LLC NPI is 1730219924. The provider is registered as an organization entity type.
The provider's business location address is:
6125 GREEN BAY RD
SUITE 100
KENOSHA, WI
ZIP 53142-942
Phone: (262) 652-1776
Fax: (262) 652-2702
The provider's authorized official is Jonathan Wilcox .
The authorized official title is Cfo and has the following contact phone number (978) 922-3080.
The enumeration date for this NPI number is 3/6/2007 and was last updated on 3/16/2017.