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

Dr. Kenneth Alan Iczkowski, MD

Individual provider Anatomic Pathology Physician · NPI 1699702373

Dr. Kenneth Alan Iczkowski, MD is a Pathology in Milwaukee, Wisconsin. Graduated from Saint Louis University School of Medicine in 1992, 34 years ago. Practices with Regents of the Univ of Ca, a 1,578-clinician group and accepts Medicare assignment. Licensed in Colorado, Ohio, Pennsylvania and Wisconsin and 1 more.

Years since qualifying
34
Trained at
Saint Louis University School of Medicine
Licensed in
CO, OH, PA, WI, WV
In the registry since
2006
Specialties on file
5
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

9200 W Wisconsin Ave Dept OF Pathology
Milwaukee, WI 53226-3522
Phone: (414) 805-6966
Fax: (414) 805-6980
Show map & directions

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

Specialties & licences

Anatomic Pathology Physician (primary) Taxonomy 207ZP0101X · Licence 60981 (WI)
Anatomic Pathology Physician Taxonomy 207ZP0101X · Licence 45517 (CO)
Anatomic Pathology Physician Taxonomy 207ZP0101X · Licence 097071 (OH)
Anatomic Pathology Physician Taxonomy 207ZP0101X · Licence 24404 (WV)
Anatomic Pathology Physician Taxonomy 207ZP0101X · Licence 065446-L (PA)

Record details

NPI number1699702373
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESNovember 14, 2013
Mailing address9200 W Wisconsin Ave, Department Of Pathology, Milwaukee, WI 53226-3522

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Regents Of The Univ Of Ca — 1578 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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