MEDICARE: KYLIE MCALLISTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	8210721	WI

General Provider Information

NPI Number	:	1588418776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYLIE MCALLISTER

Provider Business Mailing Address
First Line	:	2801 W KINNICKINNIC RIVER PKWY STE 250
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53215-3678
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2801 W KINNICKINNIC RIVER PKWY STE 250
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53215-3678
Country	:	US
Telephone Number	:	414-649-6732
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2024
Last Update Date	:	02/07/2026

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Directions to “ KYLIE MCALLISTER ” Practice Location

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