Kidney Care Home SC
Kidney Care Home SC provides Nephrology Physician services in Kenosha, Wisconsin. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
6125 Green Bay Rd Ste 200Kenosha, WI 53142-2945
Phone: (262) 564-8636
Fax: (262) 564-8637
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Specialties & licences
| Nephrology Physician (primary) | Taxonomy 207RN0300X |
|---|
Record details
| NPI number | 1831822956 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ganesh Pulla — Owner/Medical Director · (262) 564-8636 |
| NPI enumerated | July 6, 2022 |
| Last updated in NPPES | July 6, 2022 |
| Certification date | July 6, 2022 |
| Mailing address | 6125 Green Bay Rd Ste 200, Kenosha, WI 53142-2945 |
Other providers in Kenosha
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Ganesh N Pulla, MD
6125 Green Bay Rd 100, Kenosha, WI 53142-2928 · (262) 564-8636