Individual provider · Type 1 NPI

Kenneth Jay Elledge, RN

Registered Nurse · Milwaukee, WI

NPI number 1982130902 Active

Practice location

2900 W Oklahoma Ave
Milwaukee, WI 53215-4330

Mailing address

3841 E Edgerton Ave
Cudahy, WI 53110-1905

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X184751-30 (WI)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1982130902

Kenneth Jay Elledge, RN's National Provider Identifier is 1982130902, issued on May 11, 2017. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Milwaukee, WI. The record was last updated on May 11, 2017.