Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Children's Medical Group

Organization Pediatrics Physician · NPI 1740455096

Children's Medical Group provides Pediatrics Physician services in Kenosha, Wisconsin. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

6809 122nd Ave
Kenosha, WI 53142-7335
Phone: (262) 654-8633
Fax: (262) 654-5467
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1740455096
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationChildren's Medical Group
Authorized official Smriti Khare — President, Children'S Medical Group · (414) 266-7615
Other names Kenosha Pediatrics; Kenosha Pediatrics
NPI enumeratedApril 28, 2008
Last updated in NPPESFebruary 5, 2019
Mailing address9000 W Wisconsin Ave, Ms 958, Milwaukee, WI 53226-4874

Other providers in Kenosha