Individual Healthcare Provider
Keely Marshall, M.D.
Provider's NPPES record last updated: July 26, 2022
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1184019010
- Primary Specialty
- Dermatology
- Practice Location
- Wauwatosa, Wisconsin
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 10:03 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Dermatology
Allopathic & Osteopathic Physicians
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Taxonomy code 207N00000X
Provider-Reported License Information
- Dermatology (Wisconsin)
- 71531
Practice Locations
Practice Location
10000 W Bluemound Rd
Wauwatosa, Wisconsin 53226-4321
Phone: (414) 454-8000
Additional Practice Location
7901 S 6th St
Oak Creek, Wisconsin 53154-2010
Phone: (414) 346-8000
Fax: (414) 346-8010
Additional Practice Location
1700 W Paradise Dr
West Bend, Wisconsin 53095-9795
Phone: (262) 334-3451
Fax: (262) 334-5321
Additional Practice Location
11430 N Port Washington Rd
Mequon, Wisconsin 53092-3414
Phone: (262) 518-1900
Fax: (262) 518-5052
Additional Practice Location
9200 W Wisconsin Ave
Milwaukee, Wisconsin 53226-3522
Phone: (414) 805-5320
Fax: (414) 805-5323
Record Information
- Enumeration Date
- March 28, 2015
- Provider's NPPES Record Last Updated
- July 26, 2022
- Certification Date
- July 26, 2022
- NPISignal NPPES Dataset
- August 2026
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