NPI 1245080092

Keyvonia Wilson, PHLEBOTOMY

Practitioner Phlebotomy Technician Milwaukee, WI

Practice location

Address: 11575 W Theo Trekr Way # 18, Milwaukee, WI 53214-1139
Phone: (262) 450-3615

Registered specialties

Phlebotomy Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246RP1900X Licence NPCN-169866402 (WI)

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Registry record

NPI: 1245080092
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Mar 2024
Record last updated: 24 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.