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

Kelly M Blackburn, RN

Individual provider Addiction (Substance Use Disorder) Registered Nurse · NPI 1255668208

Kelly M Blackburn, RN is an Addiction (Substance Use Disorder) Registered Nurse in Waukesha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2009.

Licensed in
WI
In the registry since
2009
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

2422 N Grandview Blvd
Waukesha, WI 53188-6105
Phone: (262) 549-6600
Fax: (262) 549-6698
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Registered Nurse (primary) Taxonomy 163WA0400X · Licence 170106030 (WI)

Record details

NPI number1255668208
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedNovember 12, 2009
Last updated in NPPESMay 22, 2013

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