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DR. KELLY HENRICKSON MD NPI 1033161708


NPI Information

NPI: 1033161708
Provider Name: DR. KELLY HENRICKSON, MD
Classification: Pediatrics - 2080P0208X
Entity Type: Individual

Specialization: Pediatric Infectious Diseases

PECOS Registration: Yes

Address:
9000 W WISCONSIN AVE
PEDIATRIC INFECTIOUS DISEASE
MILWAUKEE, WI
ZIP 53226
Phone: (414) 337-7070
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DR. Kelly Henrickson, MD is a pediatric infectious diseases pediatrics in Milwaukee, WI. The provider is a pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. DR. Kelly Henrickson, MD NPI is 1033161708. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9000 W WISCONSIN AVE
PEDIATRIC INFECTIOUS DISEASE
MILWAUKEE, WI
ZIP 53226-874
Phone: (414) 337-7070
Fax: (414) 337-7093

The NPI 1033161708 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 2/26/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0208XPediatricsPediatric Infectious Diseases31214WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E46207MEDICARE UPIN
21033161708MEDICAIDWISCONSIN
3680862616MEDICARE PINWISCONSIN
4736012625MEDICARE PINWISCONSIN
5002000198GOTHERHUMANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.