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MELISSA KEOVORAVONG LPN
NPI 1578414892
Licensed Practical Nurse in West Allis, WI

Active since February 04, 2026
11390 W THEODORE TRECKER WAY, WEST ALLIS, WI 53214(414) 928-1401(414) 928-1402 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Melissa Keovoravong Lpn NPPES

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

MELISSA KEOVORAVONG LPN (NPI 1578414892) is an individual licensed practical nurse in West Allis, Wisconsin, licensed in Wisconsin (326298-31) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1578414892
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMELISSA KEOVORAVONGCredential: LPN
Location Address11390 W THEODORE TRECKER WAYWest Allis, WI 53214-1135
Mailing Address11390 W Theodore Trecker WayWest Allis, WI 53214-1135 · (414) 928-1401 · Fax (414) 928-1402
Phone(414) 928-1401
Fax(414) 928-1402
Sole ProprietorNo
Enumeration DateFebruary 4, 2026
NPPES CertifiedFebruary 4, 2026
✔ NPI 1578414892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in WI · 326298-31
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
11390 W THEODORE TRECKER WAY, West Allis, WI 53214
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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.

CORI ANN MYSZKA CSAC, APSW
Counselor (Addiction (Substance Use Disorder))
11390 W THEODORE TRECKER WAY
WEST ALLIS, WI 53214
Milwaukee County (414) 928-1401
ADDICTION SERVICES AND PHARMACOTHERAPY, SC
Clinic/Center (Methadone)
11390 W THEODORE TRECKER WAY
WEST ALLIS, WI 53214
Milwaukee County (414) 928-1401
NORMA ARANDA RN
Registered Nurse (Addiction (Substance Use Disorder))
11390 W THEODORE TRECKER WAY
WEST ALLIS, WI 53214
Milwaukee County (414) 928-1401
KRISTEN A MILSAP RN
Registered Nurse (Addiction (Substance Use Disorder))
11390 W THEODORE TRECKER WAY
WEST ALLIS, WI 53214
Milwaukee County (414) 928-1401
ALEXANDRA TIMPE RN
Registered Nurse (Addiction (Substance Use Disorder))
11390 W THEODORE TRECKER WAY
WEST ALLIS, WI 53214
Milwaukee County (414) 928-1401
LOWELL GRAHAM MCKAY RN
Registered Nurse (Addiction (Substance Use Disorder))
11390 W THEODORE TRECKER WAY
WEST ALLIS, WI 53214
Milwaukee County (414) 928-1401
LATASHA ELAM LPN
Licensed Practical Nurse
11390 W THEODORE TRECKER WAY
WEST ALLIS, WI 53214
Milwaukee County (414) 928-1401
AMANDA NORDSTROM RN
Registered Nurse
11390 W THEODORE TRECKER WAY
WEST ALLIS, WI 53214
Milwaukee County (414) 928-1401

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 Melissa Keovoravong's NPI number?

The NPI number for Melissa Keovoravong is 1578414892. It was assigned to this individual provider in the NPPES registry on February 4, 2026.

Where is Melissa Keovoravong located?

Melissa Keovoravong practices at 11390 W Theodore Trecker Way, West Allis, WI 53214. The listed phone number is (414) 928-1401.

What is Melissa Keovoravong's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Melissa Keovoravong was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.