Mr Kenneth Jay Elledge, RN - Registered Nurse in Milwaukee, WI

Mr Kenneth Jay Elledge, RN is a Registered Nurse based in Milwaukee, Wisconsin. Mr Kenneth Jay Elledge is licensed to practice in Wisconsin (license number 184751-30) and his current practice location is 2900 W Oklahoma Ave, Milwaukee, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (414) 649-6000.

NPI number for Mr Kenneth Jay Elledge is 1982130902 and his current mailing address is 3841 E Edgerton Ave, Cudahy, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982130902.

Contact Information

Mr Kenneth Jay Elledge, RN
2900 W Oklahoma Ave,
Milwaukee, WI 53215-4330
(414) 649-6000
Not Available

Map and Direction




Provider's Profile

Full NameMr Kenneth Jay Elledge
GenderMale
SpecialityRegistered Nurse
Location2900 W Oklahoma Ave, Milwaukee, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1982130902
  • Provider Enumeration Date: 05/11/2017
  • Last Update Date: 05/11/2017

Medical Identifiers

Medical identifiers for Mr Kenneth Jay Elledge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982130902NPI-NPPES
184751-30OtherWIWISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 184751-30 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kenneth Jay Elledge is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Kenneth Jay Elledge, RN
3841 E Edgerton Ave,
Cudahy, WI 53110-1905

Ph: (414) 405-1971
Mr Kenneth Jay Elledge, RN
2900 W Oklahoma Ave,
Milwaukee, WI 53215-4330

Ph: (414) 649-6000

Reviews and Comments


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