KELLY A ISHERWOOD PA-C
NPI 1043312937
Physician Assistant in Milwaukee, WI

Active since September 02, 2006
2350 N LAKE DR, SUITE 206, MILWAUKEE, WI 53211(414) 298-7280(414) 298-7281 Get Directions Write a Review

NPPES record last updated: November 24, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly A Isherwood Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY A ISHERWOOD PA-C (NPI 1043312937) is an individual physician assistant in Milwaukee, Wisconsin, licensed in Wisconsin (1675-023) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1043312937
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY A ISHERWOODCredential: PA-C
Location Address2350 N LAKE DR, SUITE 206Milwaukee, WI 53211-4528
Mailing Address2350 N Lake Dr, Suite 206Milwaukee, WI 53211-4528 · (414) 298-7280 · Fax (414) 298-7281
Fax(414) 298-7281
Sole ProprietorNo
Enumeration DateSeptember 2, 2006
Last NPPES UpdateNovember 24, 2010
NPI 1043312937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 1675-023
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2350 N LAKE DR, Milwaukee, WI 53211

Other Identifiers 14

Medicare PIN000002525-0360
Medicare PINP00794219
Medicare UPINQ08395
Medicare ID-Type Unspecified000002535-0002Milwaukee County
Medicare ID-Type Unspecified000052075-0002Racine County
Other42866700WI · Hirsp
Other42866700WI · Wps Gamp
Medicare ID-Type Unspecified000060295-0002Sheboy & Osh Counties
Medicare PIN000060295-0005WI
Medicaid42866700WI
Medicare PINWI1634-003
Other42866700WI · Network Health - T19
Other42866700WI · Uhc-t19
Other42866700Managed Health Services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
2350 N LAKE DR
MILWAUKEE, WI 53211
Clinic/Center (Multi-Specialty)
2350 N LAKE DR
MILWAUKEE, WI 53211
Surgery
2350 N LAKE DR, SUITE 304
MILWAUKEE, WI 53211
Internal Medicine (Hematology & Oncology)
2350 N LAKE DR, SUITE 100
MILWAUKEE, WI 53211
Nurse Practitioner (Family)
2350 N LAKE DR, SUITE 400
MILWAUKEE, WI 53211
Nurse Practitioner
2350 N LAKE DR, SUITE 100
MILWAUKEE, WI 53211
Physical Therapist
2350 N LAKE DR
MILWAUKEE, WI 53211
Dermatology
2350 N LAKE DR, SUITE 300
MILWAUKEE, WI 53211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Isherwood's NPI number?

The NPI number for Kelly Isherwood is 1043312937. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Kelly Isherwood located?

Kelly Isherwood practices at 2350 N Lake Dr Suite 206, Milwaukee, WI 53211. The listed phone number is (414) 298-7280.

What is Kelly Isherwood's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kelly Isherwood was last updated on November 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.