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

Kelly Ann Datka

Individual provider Pharmacist · NPI 1578196267

Kelly Ann Datka is a Pharmacist in Waukesha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2020.

Licensed in
WI
In the registry since
2020
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Practice location Address checks out

21325 E Moreland Blvd
Waukesha, WI 53186-2909
Phone: (262) 798-0223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 19490-40 (WI)

Record details

NPI number1578196267
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 20, 2020
Last updated in NPPESFebruary 20, 2020
Certification dateFebruary 20, 2020
Mailing address21325 E Moreland Blvd, Waukesha, WI 53186-2909

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