NPI Code Details Logo

NPI 1285594515

NPI 1285594515 : RACHEL KILLION : MILWAUKEE, WI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1285594515
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    RACHEL KILLION
-----------------------------------------------------
    Gender               |     
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/18/2025
-----------------------------------------------------
    Last Update Date     |    11/18/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2900 W OKLAHOMA AVE 
-----------------------------------------------------
    City                 |    MILWAUKEE
-----------------------------------------------------
    State                |    WI
-----------------------------------------------------
    Zip                  |    53215-4330
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    414-649-6000
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    20225 SUTTER CREEK DR APT 204 
-----------------------------------------------------
    City                 |    BROOKFIELD
-----------------------------------------------------
    State                |    WI
-----------------------------------------------------
    Zip                  |    53045-3931
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LP2300X
-----------------------------------------------------
    Taxonomy Name        |    Primary Care Nurse Practitioner
-----------------------------------------------------
    License Number       |    17657-33
-----------------------------------------------------
    License Number State |    WI
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.