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

KELLEN GRIMM, L. AC

Deactivated Sole Proprietor

KELLEN GRIMM, L. AC is a Acupuncturist healthcare provider located in MILWAUKEE, Wisconsin. NPI 1982187209 is deactivated in the NPPES registry. Verify at CMS.

Acupuncturist · MILWAUKEE, WI

This NPI has been deactivated. The record was deactivated on April 1, 2021. Deactivated NPIs are no longer valid for billing or credentialing.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
1982187209
Provider Type
Individual
Gender
Male
NPI Issued
Sep 12, 2018 (2.5506849315068 yrs)
Last Updated
Nov 16, 2022
Deactivated
Apr 1, 2021
License
967-55 (WI)
Sole Proprietor
Yes

Practice Information

Address
531 S WATER ST STE 200
MILWAUKEE, WI, 532041668
Browse WI providers · Browse ZIP 53204
Phone
5172421870
Primary Specialty
Acupuncturist
171100000X

Other Acupuncturist Providers in MILWAUKEE, WI

Name Credential NPI
MS. JANET L FRITTS L. AC. 1760522197
MRS. KAREN S SCHLAIS LAC MSOM 1639388366
MR. JOHN ROBERT BURNS PT, LAC 1760657191
MS. JACQUELYN J CREMA C.AC., L.AC. 1598926156
ANNE KUHRY LC. ACUPUNCTURE, OMD 1295996395
MS. MIRANDA VERONICA KNOX M.S.T.O.M 1679707640
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.