Megan Elizabeth Mahlkuch

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2001 Alford Park Dr
Kenosha, WI 53140-1927

Phone

(608) 636-6324

NPI assigned

Feb 6, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612569600000",
    "number": "1003408592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 VINEY RD",
            "city": "BELLEVILLE",
            "state": "WI",
            "postal_code": "535089531",
            "telephone_number": "608-636-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 ALFORD PARK DR",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531401927",
            "telephone_number": "608-636-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHLKUCH",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-06",
        "last_updated": "2021-02-06",
        "certification_date": "2021-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corinne S Maerzke, COTA
• Sarah Magallon, LPC
• Giacomo Maggiolino, M.D.
• Victoria Mahboub, LCSW
• Timothy James Maher
• Carla Mahmud
• Jonathan D Main, MD
• Mary Mainland, M.D.
• Alison Nicole Makinen, OTR/L
• Making a Difference Community Services

• Athletic Trainer in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Athletic Trainer in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.