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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY C O'HERON, RD CD

Deactivated

Registered Dietitian · COLUMBUS, WI

This NPI has been deactivated. The record was deactivated on October 25, 2017. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1326062415
Provider Type
Individual
Gender
Female
NPI Issued
Jul 26, 2006 (11.249315068493 yrs)
Last Updated
Mar 3, 2025
Deactivated
Oct 25, 2017
License
1939 (WI)

Practice Information

Address
1515 PARK AVE
COLUMBUS, WI, 539252402
Browse WI providers · Browse ZIP 53925
Phone
9206232200
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in COLUMBUS, WI

Name Credential NPI
MRS. GLORIA AWEKE R.D. 1578645081
MRS. KRISTINA K. LAVIS R.D. 1730261249
LINDA L HANDEL RD CD 1568657484
RACHEL RAMLET ADLER RD CD 1356519359
JENNIFER L ARENDT RD, CD 1548576762
JENNIFER RENEE DAVIS RD,CD, CDE 1861787806
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.