Individual
KAYLA YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY STE 250, MILWAUKEE, WI 53215-3678
(414) 649-6732
Mailing address
2801 W KINNICKINNIC RIVER PKWY STE 250, MILWAUKEE, WI 53215-3678
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8179321
WI
261QS1000X
Student Health Clinic/Center
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2022
Last updated
05/27/2025
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