Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY BETH HEIDLE, D.O.
ActiveKELLY BETH HEIDLE, D.O. is a Internal Medicine healthcare provider located in KENOSHA, Wisconsin. NPI 1992044846 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · KENOSHA, WI
Registration Details
- NPI Number
- 1992044846
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 12, 2013 (13.517295125774 yrs)
- Last Updated
- Dec 28, 2021
- Licenses
-
67122-21 (WI)OS018162 (PA)
Practice Information
- Address
-
6308 8TH AVEKENOSHA, WI, 531435031Browse WI providers · Browse ZIP 53143
- Phone
- 4142906720
- Fax
- 4142906755
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in KENOSHA, WI
| Name | Credential | NPI |
|---|---|---|
| MANUEL A. RIVERA | M.D. | 1184690133 |
| WENDEL M FRIEDL | MD | 1700832797 |
| SUZANNE P MATTOX | MD | 1659327583 |
| MICHAEL H ZEIHEN | MD | 1043266992 |
| MITCHELL JACOB ZIARKO | MD | 1336195288 |
| SHAZIA MIRZA | M.D. | 1972547040 |
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.