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Kelly Beth Heidle, DO
Internal Medicine Physician in Kenosha, Wisconsin
NPI 1992044846

Kelly Beth Heidle is a Internal Medicine Physician based in Milwaukee, WI. Kelly Beth Heidle practices in Kenosha, WI and has the professional credentials of DO. The NPI Number for Kelly Beth Heidle is 1992044846 and holds a License No. 67122-21 (Wisconsin).

The current practice location address for Kelly Beth Heidle is 6308 8Th Ave, Kenosha, WI and can be reached out via phone at 414-290-6720 and via fax at 414-290-6755.

Location: 6308 8Th Ave, Kenosha, WI, 53202-4809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992044846
Provider Name
Kelly Beth Heidle
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
6308 8Th Ave, Kenosha, WI, 53202-4809
Phone Number
414-290-6720
Fax Number
414-290-6755
Provider Enumeration Date
02/12/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0182229 01 PA OHIO MEDICAID
1031239290001 05 PA
003403181 01 PA HIGHMARK BCBS
institution
Provider Business Practice Location Address Details
Address
6308 8Th Ave
City
Kenosha
State
Wisconsin
Zip
53143-5031
Phone Number
414-290-6720
Fax Number
414-290-6755
person
Provider Business Mailing Address Details
Address
6308 8Th Ave
City
Kenosha
State
Wisconsin
Zip
53143-5031
Phone Number
414-290-6720
Fax Number
414-290-6755
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
67122-21 (Wisconsin)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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