KENOSHA FAMILY PRACTICE, S.C.
NPI 1982770095
Clinic/Center - Health Service in Kenosha, WI

Active since November 28, 2006
5923 GREEN BAY RD, KENOSHA, WI 53144(262) 652-0500(262) 652-1928 Get Directions Write a Review

NPPES record last updated: February 20, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenosha Family Practice, S.c. NPPES

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

KENOSHA FAMILY PRACTICE, S.C. (NPI 1982770095) is a healthcare organization registered as a health service in Kenosha, Wisconsin and active in the NPI registry since November 2006. The organization lists Stephen P Feuerbach, President, as its authorized official.

NPPES Registry Identity

NPI1982770095
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameKENOSHA FAMILY PRACTICE, S.C.
Location Address5923 GREEN BAY RDKenosha, WI 53144-3737
Mailing Address5923 Green Bay RdKenosha, WI 53144-3737 · (262) 652-0500 · Fax (262) 652-1928
Fax(262) 652-1928
Organization SubpartNo
Authorized OfficialStephen P FeuerbachPresident · (262) 652-0500
Enumeration DateNovember 28, 2006
Last NPPES UpdateFebruary 20, 2014
NPI 1982770095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License Licensed in WI · 30201
5923 GREEN BAY RD, Kenosha, WI 53144

Other Identifiers 4

Other=========010Anthem Blue Cross
OtherDA2461Railroad Medicare
Medicare PIN000032095
Medicaid21270500WI

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.

Dentist (General Practice)
5923 GREEN BAY RD
KENOSHA, WI 53144
Nurse Practitioner
5923 GREEN BAY RD
KENOSHA, WI 53144
Family Medicine
5923 GREEN BAY RD
KENOSHA, WI 53144
Dentist (General Practice)
5923 GREEN BAY RD
KENOSHA, WI 53144

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 Family Practice, S.C.'s NPI number?

The NPI number for Kenosha Family Practice, S.C. is 1982770095. It was assigned to this organization in the NPPES registry on November 28, 2006.

Where is Kenosha Family Practice, S.C. located?

Kenosha Family Practice, S.C. is located at 5923 Green Bay Rd, Kenosha, WI 53144. The listed phone number is (262) 652-0500.

What is Kenosha Family Practice, S.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Kenosha Family Practice, S.C. was last updated on February 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.