Search › Wisconsin › 171400000X
Kellen Ibiza, CNC
NPI 1043933021 · on the registry since 2022
Practice
- Address
- 108 N Harrison St
North Prairie, WI 53153 - Phone
- (312) 826-6073
Registry record
- Primary taxonomy
- 171400000X
171400000X
- Sex
- Male
- Record last updated
- 2022-09-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin