IndividualActive
Kim Cannon
NPI 1023948908 · Case Management Registered Nurse · Milwaukee, WI
Provider details
- NPI number
- 1023948908
- Entity type
- Individual
- Primary specialty
- Case Management Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 104860-030 (WI)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5000 W National Ave
Bldg 4, Room 1103
Milwaukee, WI 53295-0001
Phone: (414) 384-2000
Street-level locationGet directions
Mailing address
5000 W National Ave
Milwaukee, WI 53295
Registry dates
- Enumerated
- 2026-05-21
- Last updated
- 2026-05-21
- Certified
- 2026-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.