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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. R. KEVIN KENNELLY P.A.
NPI 1780651604
Family Medicine in West Allis, WI

Active since March 01, 2006
555 S 108TH ST, WEST ALLIS, WI 53214(414) 566-6400(414) 566-3866 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. R. Kevin Kennelly P.a. NPPES

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

MR. R. KEVIN KENNELLY P.A. (NPI 1780651604) is an individual family medicine provider in West Allis, Wisconsin, licensed in Wisconsin (247-023) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1780651604
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. R. KEVIN KENNELLYCredential: P.A.
Location Address555 S 108TH STWest Allis, WI 53214-1100
Mailing Address555 S 108th StWest Allis, WI 53214-1100 · (414) 566-6400 · Fax (414) 566-3866
Phone(414) 566-6400
Fax(414) 566-3866
Sole ProprietorNo
Enumeration DateMarch 1, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1780651604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 247-023
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.
555 S 108TH ST, 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.

DR. LISA M STUKENBERG M.D.
Pediatrics
555 S 108TH ST
WEST ALLIS, WI 53214
Milwaukee County (414) 566-6400
QUAD/MED, LLC
Clinic/Center (Multi-Specialty)
555 S 108TH ST
WEST ALLIS, WI 53214
Milwaukee County (414) 566-8210
PAUL GALLESKE
Specialist/Technologist (Athletic Trainer)
555 S 108TH ST
WEST ALLIS, WI 53214
Milwaukee County (414) 566-6400
DR. MOHAMED Z ADL DDS
Dentist (General Practice)
555 S 108TH ST
WEST ALLIS, WI 53214
Milwaukee County (414) 566-6400
ROA QATO M.D.
Obstetrics & Gynecology
555 S 108TH ST
WEST ALLIS, WI 53214
Milwaukee County (414) 566-6400
MRS. KATHY OSTERHAUS-KEGEL P.A.
Physician Assistant
555 S 108TH ST
WEST ALLIS, WI 53214
Milwaukee County (414) 566-6400
QUAD/MED, LLC
Clinic/Center (Dental)
555 S 108TH ST
WEST ALLIS, WI 53214
Milwaukee County (414) 566-3725
DR. JEFFERY A BRAUN O.D.
Optometrist
555 S 108TH ST
WEST ALLIS, WI 53214
Milwaukee County (414) 566-3803

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 R. Kevin Kennelly's NPI number?

The NPI number for R. Kevin Kennelly is 1780651604. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is R. Kevin Kennelly located?

R. Kevin Kennelly practices at 555 S 108th St, West Allis, WI 53214. The listed phone number is (414) 566-6400.

What is R. Kevin Kennelly'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 R. Kevin Kennelly was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.