Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KELLEN JOSEPH IBIZA, CNC
ActiveMR. KELLEN JOSEPH IBIZA, CNC is a Health & Wellness Coach healthcare provider located in NORTH PRAIRIE, Wisconsin. NPI 1043933021 is currently active in the NPPES registry. Verify at CMS.
Health & Wellness Coach · NORTH PRAIRIE, WI
Registration Details
- NPI Number
- 1043933021
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 23, 2022 (3.8473517771038 yrs)
- Last Updated
- Sep 23, 2022
Practice Information
- Address
-
108 N HARRISON STNORTH PRAIRIE, WI, 531539791Browse WI providers · Browse ZIP 53153
- Phone
- 3128266073
- Primary Specialty
-
Health & Wellness Coach
171400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.