Kelly Kathleen Mackenzie, MD

Emergency Medicine in Milwaukee, WI. Individual provider (NPI-1).

NPI number1407410038

StatusActive

Last updated in NPPESJul 31, 2025

Details

NPI: 1407410038
Entity type: Individual (NPI-1)
Name: Kelly Kathleen Mackenzie
Credential: MD
Sex: Female
Sole proprietor: No
Enumeration date: Apr 29, 2019
Certification date: Jul 31, 2025
Last updated: Jul 31, 2025

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - EMERGENCY MEDICINE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207P00000X	Emergency Medicine	85596-20	WI	Yes

Practice location

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522

Phone 414-955-6450 · Fax 414-955-0082

Mailing address

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522

Phone 414-955-6450 · Fax 414-955-0082

Other practice locations

600 S Paulina St Ste 403
Chicago, IL 60612-3806

Phone 312-942-7100

5501 Old York Rd Ste 1
Philadelphia, PA 19141-3098

Phone 800-346-7834

8810 William Coffey Dr
Milwaukee, WI 53226-1264

Phone 414-805-6717

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Emergency Medicine Physician providers in Milwaukee, WI

All 371 Emergency Medicine Physician providers in Milwaukee · All 23,880 providers in Milwaukee

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