Search › Wisconsin › 207R00000X
Kelly Heidle, D.O
NPI 1992044846 · on the registry since 2013
Practice
- Address
- 6308 8th Ave
Kenosha, WI 53143 - Phone
- (414) 290-6720
- Fax
- (414) 290-6755
- Organisation at this address
- Ihc Hospitalists Llc
Ctvsa Wisconsin S.C.
Froedtert South, Inc.
Cook Medical Assoc Ltd
Kenosha Vascular Lab IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 89
Additional practice sites
- 9555 76th St, Pleasant Prairie, WI
- 232 W 25th St, Erie, PA
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
- Licence states on file
- WI, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-28
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