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

Kelly Fairchild, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1760913222

Kelly Fairchild, DO is an Obstetrics/Gynecology in Milwaukee, Wisconsin. Qualified in 2017, 9 years ago. Practices with Lakewood Resource and Referral Center Inc, a 107-clinician group and accepts Medicare assignment. Licensed in New Jersey and Wisconsin.

Years since qualifying
9
Licensed in
NJ, WI
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

945 N 12th St
Milwaukee, WI 53233-1305
Phone: (414) 219-5725
Fax: (414) 219-5611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 25MB12545800 (NJ)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 69967-21 (WI)

Record details

NPI number1760913222
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 25, 2017
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Lakewood Resource And Referral Center Inc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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