Ketamine Milwaukee, Sc
NPI 1871318584 · Multi-Specialty Clinic/Center · Milwaukee, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ketamine Milwaukee, Sc is a Multi-Specialty Clinic/Center organization in Milwaukee, WI (NPI 1871318584).
Provider details
- NPI number
- 1871318584
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Kane, President(414) 206-1606
Specialties & taxonomies
Ambulatory Health Care Facilities
- Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
- Pain Medicine (Anesthesiology) Physician207LP2900X
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES 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
Mailing address
Other names (DBA / former)
- Doing business as
- Edelica
Registry dates
- Enumerated
- 2024-11-18
- Last updated
- 2024-11-18
- Certified
- 2024-11-18
Frequently asked questions
- What is Ketamine Milwaukee, Sc's NPI number?
- Ketamine Milwaukee, Sc's National Provider Identifier (NPI) is 1871318584, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ketamine Milwaukee, Sc?
- Ketamine Milwaukee, Sc is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ketamine Milwaukee, Sc located?
- Ketamine Milwaukee, Sc's practice location on file with NPPES is 10424 W Bluemound Rd, Milwaukee, WI 53226-4331.
- What is Ketamine Milwaukee, Sc's phone number?
- The practice phone number listed in the NPPES registry for Ketamine Milwaukee, Sc is (414) 206-1606.
- Does Ketamine Milwaukee, Sc accept Medicare?
- Ketamine Milwaukee, Sc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ketamine Milwaukee, Sc?
- The authorized official listed on Ketamine Milwaukee, Sc's NPPES record is Kevin Kane, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ketamine Milwaukee, Sc's NPI active?
- Yes — Ketamine Milwaukee, Sc's NPI (1871318584) is active in the NPPES registry as of the last update on 2024-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.