# KATHERINE KELLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1770926131
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 036152534 | IL | — |
| 208600000X | Surgery Physician | 1149 | WI | — |
| 208600000X | Surgery Physician | MC-048 | GU | — |
| 2086S0102X | Surgical Critical Care Physician | 036152534 | IL | — |
| 2086S0102X | Surgical Critical Care Physician | D0086537 | MD | — |
| 2086S0102X | Surgical Critical Care Physician | MC-048 | GU | — |
| 2086S0127X | Trauma Surgery Physician | 036152534 | IL | — |
| 2086S0127X | Trauma Surgery Physician | MD471120 | PA | Yes |

## Other

- **Enumeration date:** 04/16/2013
- **Last updated:** 02/03/2026