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Contact Information

KAITLIN PELLICANO, MD
W3985 COUNTY ROAD NN
ELKHORN, WI53121-4337
 Phone: 262-741-2121
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207PH0002X 17 Physician/Hospice and Palliative Care
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KAITLIN PELLICANO · (Female)

NPI Number 1700414091
Status Active
Credentials MD
Entity Individual
Enumeration date 03/31/2020
Last updated 02/11/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA12412700
  • WI License # 76460-20
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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