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Allergy & Asthma Clinic Of Kenosha Sc

Clinic/Center, Medical Specialty in Kenosha, WI. Organization (NPI-2).

NPI number1649202128
StatusActive
Last updated in NPPESNov 7, 2008

Details

NPI
1649202128
Entity type
Organization (NPI-2)
Legal business name
Allergy & Asthma Clinic Of Kenosha Sc
Organization subpart
No
Enumeration date
Jul 7, 2006
Last updated
Nov 7, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM2500X Clinic/Center, Medical Specialty–WIYes

Practice location

4906 39th Ave
Kenosha, WI 53144-2108

Phone 262-657-9390 · Fax 262-657-4666

Mailing address

4906 39th Ave
Kenosha, WI 53144-2108

Phone 262-657-9390 · Fax 262-657-4666

Authorized official

Kulwant Singh Dhaliwal
President
2626579390

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