Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Kenosha Kidney Dialysis LLC

Q: What is the NPI number for Kenosha Kidney Dialysis LLC?

The NPI for Kenosha Kidney Dialysis LLC is 1730219924, a Type 2 (organization) record in the CMS NPPES registry.

End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Kenosha, WI · enumerated 2007 · authorized official Jonathan Wilcox, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1730219924

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Registry record

Entity type Organization (Type 2)

Legal business name Kenosha Kidney Dialysis LLC

Practice address 6125 Green Bay Rd, Suite 100, Kenosha, WI, 53142

Phone (262) 652-1776

Fax (262) 652-2702

Enumeration date Mar 6, 2007

Last updated in NPPES Mar 16, 2017

Taxonomy & classification

261QE0700X End-Stage Renal Disease (ESRD) Treatment Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Jonathan Wilcox

Title Cfo

Phone (978) 922-3080

Other identifiers

Identifier	Type	State	Issuer
42064600	Medicaid	WI	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Kenosha Kidney Dialysis LLC?

The NPI for Kenosha Kidney Dialysis LLC is 1730219924, a Type 2 (organization) record in the CMS NPPES registry.

Who is the authorized official for Kenosha Kidney Dialysis LLC?

NPPES lists Jonathan Wilcox (Cfo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-03-16.