Kelly Mackenzie, MD
NPI 1407410038 · Emergency Medicine Physician · Milwaukee, WI
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1407410038
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 85596-20 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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
Mailing address
Additional practice locations (3)
- 600 S Paulina St Ste 403Chicago, IL 60612-3806Phone: (312) 942-7100
- 5501 Old York Rd Ste 1Philadelphia, PA 19141-3098Phone: (800) 346-7834
- 8810 William Coffey DrMilwaukee, WI 53226-1264Phone: (414) 805-6717
Registry dates
- Enumerated
- 2019-04-29
- Last updated
- 2025-07-31
- Certified
- 2025-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.