| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1205239001 | JB KENOSHA HEALTHCARE LLC | 1703 60TH ST | KENOSHA | WI | 531403986 | |||
| 1992752380 | BEVERLY ENTERPRISES - WISCONSIN INC | 1703 60TH ST | KENOSHA | WI | 531403986 | |||
| 1033584511 | MILCZARSKI | LISA | 1703 60TH ST | KENOSHA | WI | 531403986 | ||
| 1649609165 | SHACKELFORD | AMY | 1703 60TH ST | KENOSHA | WI | 531403986 |