| Kilbourn Avenue Health Center | |
|
1218 W Kilbourn Ave Milwaukee WI 53233-1330 | |
| (414) 935-8000 | |
| (414) 344-3396 |
| Full Name | Kilbourn Avenue Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1218 W Kilbourn Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Candice Cole (CFO) |
| Authorized Official Contact | 4149358000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kilbourn Avenue Health Center Po Box 080257 Milwaukee WI 53208-8004 Ph: (414) 935-8000 | Kilbourn Avenue Health Center 1218 W Kilbourn Ave Milwaukee WI 53233-1330 Ph: (414) 935-8000 |
| NPI Number | 1801262746 |
|---|---|
| Provider Enumeration Date | 08/14/2015 |
| Last Update Date | 02/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801262746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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