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Contact Information

KINETIC SPINE AND PAIN SC
4491 N OAKLAND AVE
SHOREWOOD, WI53211-1611
 Phone: 414-999-3815
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for KINETIC SPINE AND PAIN SC

NPI Number 1013738509
LBN Legal business name KINETIC SPINE AND PAIN SC
Authorized official OSCAR WILLE - (PRESIDENT & CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/18/2024
Last updated 11/27/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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