KELLY MACOMBER REGISTERED NURSE
NPI 1922853167
Registered Nurse - Community Health in South Milwaukee, WI
Active since April 22, 2024
1333 COLLEGE AVE, SOUTH MILWAUKEE, WI 53172(414) 755-2500(414) 301-9328 Get Directions Write a Review
About Kelly Macomber Registered Nurse NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY MACOMBER REGISTERED NURSE (NPI 1922853167) is an individual community health provider in South Milwaukee, Wisconsin, licensed in Wisconsin (238308) and active in the NPI registry since April 2024.
NPPES Registry Identity
NPI1922853167
Entity TypeIndividualFemale
Primary Taxonomy163WC1500X
Provider Legal NameKELLY MACOMBERCredential: REGISTERED NURSE
Location Address1333 COLLEGE AVESouth Milwaukee, WI 53172-1150
Mailing Address1333 College AveSouth Milwaukee, WI 53172-1150 · (414) 775-2500 · Fax (414) 301-9328
Phone(414) 755-2500
Fax(414) 301-9328
Sole ProprietorNo
Enumeration DateApril 22, 2024
NPPES CertifiedApril 22, 2024
✔ NPI 1922853167 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers
Taxonomy Code163WC1500X
License✔ Licensed in WI · 238308
1333 COLLEGE AVE, South Milwaukee, WI 53172
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Dentist (General Practice)
1333 COLLEGE AVE, SUITE C
SOUTH MILWAUKEE, WI 53172
SOUTH MILWAUKEE, WI 53172
Specialist/Technologist, Other (EEG)
1333 COLLEGE AVE, SUITE L
SOUTH MILWAUKEE, WI 53172
SOUTH MILWAUKEE, WI 53172
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922853167, enumerated as an "individual" on April 22, 2024.
The provider is located at 1333 COLLEGE AVE SOUTH MILWAUKEE, WI 53172 and the phone number is (414) 755-2500.
Registered Nurse with taxonomy code 163WC1500X and a focus in Community Health.