Keyvonia Wilson, PHLEBOTOMY
Keyvonia Wilson, PHLEBOTOMY is an Undefined Non-Physician Type (Specify) in Milwaukee, Wisconsin. Qualified in 2025, 1 year ago. Licensed in Wisconsin.
- Years since qualifying
- 1
- Licensed in
- WI
- In the registry since
- 2024
Practice location Address checks out
11575 W Theo Trekr Way # 18Milwaukee, WI 53214-1139
Phone: (262) 450-3615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Phlebotomy Technician (primary) | Taxonomy 246RP1900X · Licence NPCN-169866402 (WI) |
|---|
Record details
| NPI number | 1245080092 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PHLEBOTOMY |
| Sole proprietor | No |
| NPI enumerated | March 25, 2024 |
| Last updated in NPPES | March 24, 2026 |
| Certification date | March 24, 2026 |
| Mailing address | 11575 W Theo Trekr Way # 18, Milwaukee, WI 53214-1139 |
Medicare enrollment
| Medicare specialty | UNDEFINED NON-PHYSICIAN TYPE (SPECIFY) |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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With Purpose Mobile Phlebotomy Services
11575 W Theo Trekr Way Ste 18, Milwaukee, WI 53214-1139 · (262) 450-3615