Kelly B. Heidle, D.O.
Internal Medicine · Kenosha, WI
UnclaimedD.O.NPI 1992044846
- Primary taxonomy
- 207R00000X
- Enumerated
- 2013-02-12
- Practice location
- Kenosha, WI
- Last NPPES update
- 2021-12-28
State licenses
- PA · Osteopathic physician · NPPES self-reportedListed on NPI record
- WI · Osteopathic physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.