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KENOSHA SURGICENTER LLC
NPI 1760101992
Non-Pharmacy Dispensing Site in Kenosha, WI

Active since August 23, 2022
10105 74TH ST STE 102, KENOSHA, WI 53142(262) 297-7246(888) 701-0578 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenosha Surgicenter Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENOSHA SURGICENTER LLC (NPI 1760101992) is a healthcare organization registered as a non-pharmacy dispensing site in Kenosha, Wisconsin and active in the NPI registry since August 2022. The organization lists Kevin Eugene Hooker, Hr, as its authorized official.

NPPES Registry Identity

NPI1760101992
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameKENOSHA SURGICENTER LLC
Location Address10105 74TH ST STE 102Kenosha, WI 53142-7530
Mailing Address2500 W Layton Ave Ste 120Milwaukee, WI 53221-5400 · (262) 297-7246
Phone(262) 297-7246
Fax(888) 701-0578
Organization SubpartNo
Authorized OfficialKevin Eugene HookerHr · (262) 297-7246
Enumeration DateAugust 23, 2022
NPPES CertifiedAugust 23, 2022
✔ NPI 1760101992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
10105 74TH ST STE 102, Kenosha, WI 53142
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RELIABLE PHARMACY OF WISCONSIN LLC
Pharmacy (Community/Retail Pharmacy)
10105 74TH ST STE 102
KENOSHA, WI 53142
Kenosha County (262) 909-5685
DR. DEVINDER K SIDHU M.D.
Anesthesiology
10105 74TH ST STE 102
KENOSHA, WI 53142
Kenosha County (262) 694-2720
KENOSHA SURGICENTER LLC
Clinic/Center (Ambulatory Surgical)
10105 74TH ST STE 102
KENOSHA, WI 53142
Kenosha County (262) 297-7246
APEX ASC KENOSHA LLC
Clinic/Center (Ambulatory Surgical)
10105 74TH ST STE 102
KENOSHA, WI 53142
Kenosha County (678) 800-5005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenosha Surgicenter LLC's NPI number?

The NPI number for Kenosha Surgicenter LLC is 1760101992. It was assigned to this organization in the NPPES registry on August 23, 2022.

Where is Kenosha Surgicenter LLC located?

Kenosha Surgicenter LLC is located at 10105 74th St Ste 102, Kenosha, WI 53142. The listed phone number is (262) 297-7246.

What is Kenosha Surgicenter LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Kenosha Surgicenter LLC was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.