Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelsey Paige Pendleton

Individual provider Family Medicine Physician · NPI 1497140503

Kelsey Paige Pendleton is a Family Medicine Physician in Wauwatosa, Wisconsin. Practices as a sole proprietor. Licensed in Kentucky, Pennsylvania and Wisconsin.

Licensed in
KY, PA, WI
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

530 N 108th Pl Ste 100
Wauwatosa, WI 53226-4253
Phone: (414) 797-3551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 71109-20 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence MT209128 (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 51558 (KY)

Record details

NPI number1497140503
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 6, 2015
Last updated in NPPESNovember 24, 2021
Certification dateNovember 24, 2021

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