Kelly Ann Aukamp

Individual provider Active NPI Physician Assistant · Milwaukee, WI

NPI 1093461980 · NPPES record last updated Jul 24, 2023

Key facts

NPI
1093461980
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
Practice address
5000 W National Ave
Milwaukee, WI 53295-0001
Phone
(414) 384-2000
NPI assigned
Mar 1, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Yes

Addresses

Primary practice location

5000 W National Ave
Milwaukee, WI 53295-0001

Mailing address

520 Wild Oak Rd
Hartland, WI 53029-1217

Other providers in Milwaukee, WI

All providers in Milwaukee, WI · Physician Assistant in Wisconsin

Sources for this page

Verify at the official NPI Registry.