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MCKINLEY PETTY III M.D.
NPI 1235231085
Family Medicine in Milwaukee, WI

Active since September 02, 2006
2555 N DR MARTIN LUTHER KING DR, MILWAUKEE HEALTH SERVICES INC, MILWAUKEE, WI 53212(414) 372-8080 Get Directions Write a Review

NPPES record last updated: September 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mckinley Petty Iii M.d. NPPES

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

MCKINLEY PETTY III M.D. (NPI 1235231085) is an individual family medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (21443) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1235231085
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMCKINLEY PETTY IIICredential: M.D.
Location Address2555 N DR MARTIN LUTHER KING DR, MILWAUKEE HEALTH SERVICES INCMilwaukee, WI 53212-2709
Mailing Address2555 N Dr Martin Luther King Dr, Milwaukee Health Services IncMilwaukee, WI 53212-2709 · (414) 372-8080
Phone(414) 372-8080
Sole ProprietorNo
Enumeration DateSeptember 2, 2006
Last NPPES UpdateSeptember 5, 2012
✔ NPI 1235231085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 21443
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedSurgeryTaxonomy 208600000X · License 21443 (WI)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 21443 (WI)
2555 N DR MARTIN LUTHER KING DR, Milwaukee, WI 53212
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Other Identifiers 2

Medicare UPINB85150
Medicaid40950100WI

Other Providers at the Same Location NPPES 14

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

DR. RICHARD LIGHTSEY II D.D.S
Dentist
2555 N DR MARTIN LUTHER KING DR
MILWAUKEE, WI 53212
Milwaukee County (414) 372-8080
MICHELLE NATALIE DACOSTA DDS
Dentist
2555 N DR MARTIN LUTHER KING DR, MILWAUKEE HEALTH SERVICES INC
MILWAUKEE, WI 53212
Milwaukee County (414) 372-8080
LAQUITA EDWARDS PA
Physician Assistant
2555 N DR MARTIN LUTHER KING DR
MILWAUKEE, WI 53212
Milwaukee County (414) 372-8080
SARA DOSCHADIS ATTEBERRY MSN, RN, CPNP
Nurse Practitioner (Pediatrics)
2555 N DR MARTIN LUTHER KING DR
MILWAUKEE, WI 53212
Milwaukee County (612) 418-5206
INEZ JANE D LUNA CNM
Advanced Practice Midwife
2555 N DR MARTIN LUTHER KING DR, MILWAUKEE HEALTH SERVICES INC
MILWAUKEE, WI 53212
Milwaukee County (414) 760-3900
DR. CORMAC KEHOE RPH
Pharmacist
2555 N DR MARTIN LUTHER KING DR, PHARMACY
MILWAUKEE, WI 53212
Milwaukee County (414) 267-3708
MILWAUKEE HEALTH SERVICES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
2555 N DR MARTIN LUTHER KING DR
MILWAUKEE, WI 53212
Milwaukee County (414) 267-2021
DR. KIMBERLIE A WARD-COOPER M.D.
Pediatrics
2555 N DR MARTIN LUTHER KING DR
MILWAUKEE, WI 53212
Milwaukee County (414) 372-8080

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 Mckinley Petty's NPI number?

The NPI number for Mckinley Petty is 1235231085. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Mckinley Petty located?

Mckinley Petty practices at 2555 N Dr Martin Luther King Dr Milwaukee Health Services Inc, Milwaukee, WI 53212. The listed phone number is (414) 372-8080.

What is Mckinley Petty's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mckinley Petty was last updated on September 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.