Kenosha Surgicenter Llc
Non-pharmacy Dispensing Site
10105 74th St Ste 102, Kenosha
Wisconsin, 53142-7530
262-297-7246 888-701-0578
Kenosha Surgicenter Llc is not a DME supplier for medicare equipments and products.
Kenosha Surgicenter Llc is a Non-pharmacy Dispensing Site in Kenosha, Wisconsin. It is located at 10105 74th St Ste 102, Kenosha and it's customer support contact number is 262-297-7246. The authorized person of Kenosha Surgicenter Llc is Kevin Eugene Hooker who is Hr of the pharmacy and his contact number is 262-297-7246.
Kenosha Surgicenter Llc is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Kenosha Surgicenter Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Kenosha Surgicenter Llc |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 10105 74th St Ste 102, Kenosha, Wisconsin, 53142-7530 |
| Phone: | 262-297-7246 |
| Fax: | 888-701-0578 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Kevin Eugene Hooker |
| Position: | Hr |
| Contact Number: | 262-297-7246 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1760101992 |
| NPI Enumeration Date: | 23 Aug, 2022 |
| NPI Last Update On: | 23 Aug, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenosha Surgicenter Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2500 W Layton Ave Ste 120, Milwaukee, Wisconsin |
| Zip: | 53221-5400 |
| Phone Number: | 262-297-7246 |
Patients can reach Kenosha Surgicenter Llc at
10105 74th St Ste 102, Kenosha, Wisconsin or can
call on customer care at 262-297-7246.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.