Southport Healthcare LLC
NPI #1740906874 in Kenosha, Wisconsin
Provider Information
- NPI Number
- 1740906874
- Entity Type
- Organization
- Organization Name
- Southport Healthcare LLC
- Primary Specialty
- Clinic/Center - Community Health
- Enumeration Date
- Oct 19, 2022
- Last Updated
- Jun 6, 2025
Practice Location
Authorized Official
- Name
- AMBER L TUELLER
- Title
- SECRETARY
- Phone
- (208) 207-2726
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Community Health — Community Health |
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