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

Kelly Kathleen Mackenzie, MD

Individual provider Emergency Medicine Physician · NPI 1407410038

Kelly Kathleen Mackenzie, MD is an Emergency Medicine in Milwaukee, Wisconsin. Qualified in 2021, 5 years ago. Practices with The Medical College of Wisconsin Inc, a 2,093-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2019
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
Milwaukee, WI 53226-3522
Phone: (414) 955-6450
Fax: (414) 955-0082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 600 S Paulina St Ste 403, Chicago, IL 60612-3806 — (312) 942-7100
  • 5501 Old York Rd Ste 1, Philadelphia, PA 19141-3098 — (800) 346-7834
  • 8810 William Coffey Dr, Milwaukee, WI 53226-1264 — (414) 805-6717

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 85596-20 (WI)

Record details

NPI number1407410038
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 29, 2019
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice The Medical College Of Wisconsin Inc — 2093 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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