Comprehensive Orthopaedics Sc

Specialty details in registry · Kenosha, WI

Call (262) 764-5595 Directions

At a glance

6804 Green Bay Rd Ste 108, Kenosha, WI 53142-1451

NPPES record updated May 1, 2026. Public records can lag behind changes at a practice.

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Practice location

6804 Green Bay Rd Ste 108
Kenosha, WI 53142-1451
Professional details: NPI, taxonomy & registry record
NPI1194611939
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QP2000X
Enumeration date
Jun 17, 2025
Record updated
May 1, 2026
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

224Z00000X

Occupational Therapist

225X00000X

Specialty details in registry

225XP0019X

Specialty details in registry

261QP2000X · Primary

Specialty details in registry

261QX0100X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

6804 Green Bay Rd Ste 108
Kenosha, WI 53142-1451
Phone
(262) 764-5595
Mailing address
7401 104TH AVE STE 110

KENOSHA, WI 531427845
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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