Ahamed Ali, LPN
Individual provider Active NPI Licensed Practical Nurse · Kenosha, WI
NPI 1922935501 · NPPES record last updated May 6, 2026
Key facts
- NPI
- 1922935501
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 307970 (WI)
- Practice address
- 3825 39TH Ave Ste 120
Kenosha, WI 53144-2043 - Phone
- (262) 946-5752
- Fax
- (262) 946-5765
- NPI assigned
- May 6, 2026
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 307970 | WI | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Addiction Services and Pharmacotherapy, SC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 307970 | WI | Yes |
Addresses
Primary practice location
3825 39TH Ave Ste 120
Kenosha, WI 53144-2043
Mailing address
3825 39TH Ave Ste 120
Kenosha, WI 53144-2043
Phone (262) 946-5752
Other providers in Kenosha, WI
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- Keith Adam Alexander
- Robert Charles Alexander
- Alf Medical LLC
- Allergy & Asthma Clinic of Kenosha SC
- Jessica M Alles
- Alliance Foot and Ankle Clinics, LLC
- Alliance Home Health, LLC
- Alliance Personal Care Agency LLC
All providers in Kenosha, WI · Licensed Practical Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.