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Dr. Kelli K Pettit, MD

Surgery Physician in Waukesha, WI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477643807

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Registry record

Entity type Individual (Type 1)
Name Dr. Kelli K Pettit
Credential MD
Sex Female
Practice address 1111 Delafield St,, Ste 209, Waukesha, WI, 53188
Phone (262) 542-0444
Fax (262) 542-8214
Enumeration date Oct 14, 2006
Last updated in NPPES Apr 24, 2019

Taxonomy & licenses

2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians · License 48072-020 (WI) Secondary
2086X0206X Surgical Oncology Physician Allopathic & Osteopathic Physicians · License 48072-020 (WI) Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 48072-020 (WI) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
1477643807 Medicaid WI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Kelli Pettit practice?
The practice location on file with NPPES is in Waukesha, WI. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Kelli Pettit?
The National Provider Identifier (NPI) for Kelli Pettit is 1477643807, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-04-24.