Kenosha Emergency Physicians, Llc

LBN: Kenosha Emergency Physicians, Llc
Kenosha Emergency Physicians, Llc is an health care organization with primary practice located at 6308 8Th Ave , Kenosha WI 53143-5031. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. Kenosha Emergency Physicians, Llc can be contacted via phone (414) 290-6718, or through Vaughn, Karen via phone (973) 251-1132.

Contact Information

Primary practice address
6308 8Th Ave Kenosha WI 53143-5031
Phone: (414) 290-6718
Fax: (414) 290-6755
Website:
Map and Directions
Authorized official contact:
Name: Vaughn, Karen
Phone: (973) 251-1132

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1093764870
LBN Legal business name Kenosha Emergency Physicians, Llc
DBA Doing business as
Authorized official Vaughn, Karen
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2006
Last updated Mar 30th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093764870 NPPES
Wisconsin Other 110009911 WEA
Wisconsin Other CD9325 WEA
Wisconsin Other 020443300 WEA
Wisconsin MEDICAID 32854800 WEA
Wisconsin Other 137497601 WEA

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