KAYLAN MORAN FENTON (NPI# 1629210208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629210208 |
| Entity Type | Individual |
| Full Name | KAYLAN MORAN FENTON |
| Credential | ANP-BC |
| Practice Address |
3237 S 16th St Milwaukee WI 53215-4526 |
| Practice Telephone | 4147694040 |
| Practice Fax Number | 4147694041 |
| Mailing Telephone | 4147694040 |
| Mailing Fax Number | 4147694041 |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2016-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
6699-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3237 S 16TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215-4526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336135375 | Don Suk Lee | Internal Medicine | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2005-09-26 |
| 1235730672 | Laura Marie Steele | Dietitian, Registered | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2020-11-03 |
| 1912527318 | Benjamin Modrell | Pharmacist | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2020-04-26 |
| 1316571896 | Jonathan D Krueger | Pharmacist | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2020-02-24 |
| 1316508617 | Anna Kathryn Baker | Physician Assistant | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2019-06-26 |
| 1740766971 | Diana Jean Maier | Health Educator | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2018-07-11 |
| 1669973632 | Brian T Prost | Nurse Anesthetist, Certified Registered | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2018-02-26 |
| 1053827410 | Alisa Orel | Dietitian, Registered | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2017-12-21 |
| 1922523836 | Freddie J. Mertzig | Nurse Practitioner | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2017-08-11 |
| 1467816561 | Girma Tesfaye Beyene | Internal Medicine | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2016-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
| Find all providers in zip 53215 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457640948 | Angela Marie Pelzek | Nurse Practitioner | 1555 N River Center Dr Ste 206, Milwaukee, WI 53212-3958 | 2011-04-05 |
| 1275719411 | Teresa Marie Skora | Nurse Practitioner | 2555 N. Dr. Martin L. King Jr. Dr, Milwaukee, WI 53212-2709 | 2008-01-17 |
| 1942296215 | Sarah Packman | Nurse Practitioner | 1702 W Walnut St, Milwaukee, WI 53205-1616 | 2005-09-22 |
| 1356347686 | Wendy R. Janssen | Nurse Practitioner | 5000 W. National Ave, Milwaukee, WI 53295 | 2005-06-22 |
| 1598769911 | Ann Elizabeth Wittwer | Nurse Practitioner | 5000 West National Ave, Yellow Clinic, Milwaukee, WI 53295 | 2005-06-13 |
| 1275536625 | Cynthia Festge | Nurse Practitioner | 3351 N Downer Ave, Milwaukee, WI 53211-2954 | 2005-05-31 |
| 1043817877 | Jacqueline Jordan Morgan | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-10-05 |
| 1427609148 | Kathryn Anne Lochmann | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2019-09-24 |
| 1760966170 | Michael Frank Potnek | Nurse Practitioner | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2018-09-20 |
| 1588144315 | Mary Rodgers | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2018-08-21 |
| Find all providers in MILWAUKEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.