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Contact Information

ADVANCED FOOT AND ANKLE CENTER OF KENOSHA S.C.
2901 35TH ST
LOWER LEVEL SOUTH
KENOSHA, WI53140-5117
 Phone: 262-652-6555
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ADVANCED FOOT AND ANKLE CENTER OF KENOSHA SC · (Female)

NPI Number 1104279561
Status Active
Credentials
Entity Individual
Enumeration date 07/20/2016
Last updated 07/20/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 1029-25
  • IL Other 1598059354 NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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