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

Mrs. Yelena Ivanova

Individual provider Pharmacist · NPI 1265754485

Mrs. Yelena Ivanova is a Pharmacist in Kenosha, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2010
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Practice location Address checks out

4100 52nd St
Kenosha, WI 53144-3900
Phone: (262) 658-0902
Fax: (262) 658-0560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 15104 (WI)

Record details

NPI number1265754485
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 16, 2010
Last updated in NPPESFebruary 16, 2010

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