Kenosha Community Health Center, Inc.
NPI #1265435960 in Kenosha, Wisconsin
Provider Information
- NPI Number
- 1265435960
- Entity Type
- Organization
- Organization Name
- Kenosha Community Health Center, Inc.
- Primary Specialty
- Clinic/Center - Community Health
- Enumeration Date
- May 27, 2005
- Last Updated
- Sep 9, 2014
Practice Location
Authorized Official
- Name
- MRS. MARY COFFEY
- Title
- EXECUTIVE DIRECTOR
- Phone
- (262) 764-3608
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Dentist |
| Clinic/Center - Community Health — Community Health |
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