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

Kelly Lawson

Individual provider Physician Assistant · NPI 1700533957

Kelly Lawson is a Physician Assistant in Wauwatosa, Wisconsin. Qualified in 2022, 4 years ago. Practices with Emergency Medicine Specialists SC, a 220-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2022
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Practice location Address checks out

10625 W North Ave Ste 101B
Wauwatosa, WI 53226-2315
Phone: (414) 727-9183
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7037-23 (WI)

Record details

NPI number1700533957
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 8, 2022
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Emergency Medicine Specialists Sc — 220 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Wauwatosa