Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kathleen A Shallow, MD

Individual provider Emergency Medicine Physician · NPI 1063433837

Dr. Kathleen A Shallow, MD is an Emergency Medicine in Milwaukee, Wisconsin. Graduated from Medical College of Wisconsin in 1993, 33 years ago. Practices with Emergency Medicine Specialists SC, a 220-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
33
Trained at
Medical College of Wisconsin
Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10625 W North Ave 102
Milwaukee, WI 53226-2315
Phone: (414) 877-5350
Fax: (414) 877-5360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 35968-020 (WI)

Record details

NPI number1063433837
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 21, 2006
Last updated in NPPESApril 7, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 1993 (33 years in practice)
Group practice Emergency Medicine Specialists Sc — 220 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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