Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kenosha Community Health Center, Inc

Organization Family Medicine Physician · NPI 1770789489

Kenosha Community Health Center, Inc provides Family Medicine Physician services in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6226 14th Ave
Kenosha, WI 53143
Phone: (262) 925-1350
Fax: (262) 653-2218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X (WI)
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1770789489
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Stampfl — Cfo · (262) 771-3561
Other names Pillar Health
NPI enumeratedJune 21, 2007
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026
Mailing address4006 Washington Rd, Kenosha, WI 53144-4819

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