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

Kennedy Wirtz

Individual provider Diagnostic Radiology Physician · NPI 1437680089

Kennedy Wirtz is a Diagnostic Radiology in Milwaukee, Wisconsin. Graduated from Medical College of Wisconsin in 2017, 9 years ago. Practices with Central Wisconsin Radiologists SC, a 9-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
9
Trained at
Medical College of Wisconsin
Licensed in
WI
In the registry since
2017
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Practice location Address checks out

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone: (414) 805-2060
Fax: (414) 259-9290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1905 N Calhoun Rd, Brookfield, WI 53005-5036 — (262) 754-8000
  • 4455 S 108th St, Greenfield, WI 53228-2504 — (414) 427-5310

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 71896 (WI)

Record details

NPI number1437680089
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 24, 2017
Last updated in NPPESJuly 8, 2022
Certification dateJuly 8, 2022

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2017 (9 years in practice)
Group practice Central Wisconsin Radiologists Sc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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