Kenosha Achievement Center in Kenosha - Pediatrics
Kenosha Achievement Center - NPI 1013974849
Kenosha Achievement Center is a Pediatrics in Kenosha, Wisconsin. Kenosha Achievement Center practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kenosha Achievement Center is 1013974849. The last update date is 2008-04-04.
Kenosha Achievement Center's current location address is 1218 79th St, Kenosha, Wisconsin. You can contact this provider via phone number 2626589500 and fax number 2626589621. The mailing address for Kenosha Achievement Center is 1218 79th St, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kenosha Achievement Center |
|---|---|
| Address | 1218 79th St, Kenosha, Wisconsin |
| Phone Number | 2626589500 |
| Fax Number | 2626589621 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Weyker Christine |
| Telephone Number | 2626589650 |
NPI Number Detail
| NPI Number | 1013974849 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2008-04-04 |
Provider Mailing Address Detail
| Address | 1218 79th St |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531436111 |
| Phone Number | 2626589500 |
| Fax Number | 2626589621 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41217500 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kenosha Achievement Center?
The Kenosha Achievement Center has been issued the NPI (National Provider Identifier) 1013974849 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Kenosha Achievement Center is located?
The Kenosha Achievement Center is situated at the following address: 1218 79Th St, Kenosha, WI, 531436111.
What is the area of specialization for Kenosha Achievement Center, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kenosha Achievement Center is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 2251P0200X.
On what date did Kenosha Achievement Center receive its 1013974849 assignment from the Centers for Medicare & Medicaid Services?
The Kenosha Achievement Center was assigned its 1013974849 on 2006-04-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kenosha Achievement Center's details last updated?
The information pertaining to the Kenosha Achievement Center, including its address, specialty, and other details, was most recently updated on 2008-04-04.