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

Dr. Kelli K Pettit, MD

Individual provider Vascular Surgery Physician · NPI 1477643807

Dr. Kelli K Pettit, MD is a General Surgery in Waukesha, Wisconsin. Graduated from Washington University School of Medicine in 2003, 23 years ago. Practices with Waukesha Surgical Specialists, SC, an 18-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
23
Trained at
Washington University School of Medicine
Licensed in
WI
In the registry since
2006
Specialties on file
3
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

1111 Delafield St Ste 209
Waukesha, WI 53188-3403
Phone: (262) 542-0444
Fax: (262) 542-8214
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 48072-020 (WI)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 48072-020 (WI)
Surgical Oncology Physician Taxonomy 2086X0206X · Licence 48072-020 (WI)

Record details

NPI number1477643807
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 14, 2006
Last updated in NPPESApril 24, 2019

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesSURGICAL ONCOLOGY, VASCULAR SURGERY
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Waukesha Surgical Specialists, S.C. — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Waukesha