Active NPI
Kristen Laura Kolberg
- Surgical Oncology Physician
- Milwaukee, WI
National Provider Identifier
1629606405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 85249-20
- Practice address
- 2900 W Oklahoma Ave
Milwaukee, WI 53215-4330 - Phone
- (414) 649-3240
- Fax
- (414) 649-3244
- NPI assigned
- Mar 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ML61070565 | WA | |
| Surgical Oncology Physician | 2086X0206X | 85249-20 | WI | Primary |
Addresses
Primary practice location
2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Mailing address
923 E Otjen St
Milwaukee, WI 53207-1809
Phone (303) 253-2522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85249-20 | WI | MD | Surgical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1629606405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "923 E OTJEN ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532071809",
"telephone_number": "303-253-2522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 W OKLAHOMA AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532154330",
"telephone_number": "414-649-3240",
"fax_number": "414-649-3244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLBERG",
"first_name": "KRISTEN",
"middle_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-29",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "ML61070565",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "WI",
"license": "85249-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.