DAVID B KELLEN (NPI# 1467484360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467484360 |
| Entity Type | Individual |
| Full Name | DAVID B KELLEN |
| Credential | M.D. |
| Practice Address |
610 W Adams St Black River Falls WI 54615-9010 |
| Practice Telephone | 7152844311 |
| Practice Fax Number | 7152842568 |
| Mailing Telephone | 7152844311 |
| Mailing Fax Number | 7152842568 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2010-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 31136 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31641000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396889671 | David P Kellen | Family Medicine | 2896 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3146 | 2007-02-19 |
| Street Address |
610 W ADAMS ST |
| City | BLACK RIVER FALLS |
| State | WI |
| Zip Code | 54615-9010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790777621 | Krohn Clinic Ltd. | Family Medicine | 610 W Adams St, Black River Falls, WI 54615-9010 | 2005-08-17 |
| 1588277305 | Paul H Choe | Pharmacist | 610 W Adams St, Black River Falls, WI 54615-9010 | 2020-08-31 |
| 1477901395 | Jesse John Susa | Family Medicine | 610 W Adams St, Black River Falls, WI 54615 | 2016-06-01 |
| 1770971970 | Jessica Dammen | Social Worker | 610 W Adams St, Black River Falls, WI 54615-9010 | 2014-12-23 |
| 1154737880 | April Alexandria Leonardo | Family Medicine | 610 W Adams St, Black River Falls, WI 54615-9010 | 2014-07-02 |
| 1164833430 | Beau Vesely | Podiatrist | 610 W Adams St, Black River Falls, WI 54615 | 2014-05-08 |
| 1831434307 | Barbara Jeanne Hagenbrock | Pharmacist | 610 W Adams St, Black River Falls, WI 54615 | 2012-12-10 |
| 1548515208 | Amy Prindle | Physician Assistant | 610 W Adams St, Black River Falls, WI 54615-9010 | 2012-07-18 |
| 1093073975 | Michelle J Clark-forsting | Family Medicine | 610 W Adams St, Black River Falls, WI 54615-9010 | 2012-04-27 |
| 1225314131 | Stephanie L Bantell | Family Medicine | 610 W Adams St, Black River Falls, WI 54615 | 2011-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104339118 | Lori Jean Mohring | Counselor | 420 Wi-54, Black River Falls, WI 54615 | 2017-11-13 |
| 1184095788 | Robert Anthony Zupancich | Pharmacist | 611 Hwy 54 East, Black River Falls, WI 54615 | 2015-10-08 |
| 1932545902 | Hera Jane Lonetree-rindahl | Counselor | W9850 Airport Rd, Black River Falls, WI 54615 | 2013-05-17 |
| 1902141344 | Mary Jane Jones | Pharmacist | 610 West Adams St., Black River Falls, WI 54615 | 2012-12-11 |
| 1285905844 | Vera Ellen Heubel | Registered Nurse | N6520 Lumber Jack Guy Road, Black River Falls, WI 54615 | 2012-01-13 |
| 1295048361 | Megan Ryan | Dentist | N6571 Lumberjack Guy Road, Black River Falls, WI 54615 | 2010-07-19 |
| 1912147828 | Evangeline M Suquet | Counselor | W9850 Airport Road, Black River Falls, WI 54615 | 2009-03-05 |
| 1407091192 | Holly Kay Rodenberg | Registered Nurse | N6520 Lumber Jack Guy Rd, Black River Falls, WI 54615 | 2008-12-09 |
| 1841467636 | Pamela Listle | Speech-Language Pathologist | 711 West Adams St., Black River Falls, WI 54615 | 2008-05-12 |
| 1285778969 | Black River Family Dentistry Ltd | Dentist | N6625 County Hwy A, Black River Falls, WI 54615 | 2007-02-16 |
| Find all providers in zip 54615 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679611768 | Kenneth Paul Adler | Family Medicine | N6500 Haipek Rd, Black River Falls, WI 54615-5404 | 2007-02-02 |
| 1669481057 | Rory Michael Johnson | Family Medicine | 610 W. Adams Street, Black River Falls, WI 54615-9010 | 2006-08-05 |
| 1902838535 | James J Dickman II | Family Medicine | N6101 Nichols Rd, Black River Falls, WI 54615-5604 | 2006-07-06 |
| 1346236478 | Esteban E Miller | Family Medicine | 711 W Adams St, Black River Falls, WI 54615-9108 | 2005-09-23 |
| 1790777621 | Krohn Clinic Ltd. | Family Medicine | 610 W Adams St, Black River Falls, WI 54615-9010 | 2005-08-17 |
| 1477901395 | Jesse John Susa | Family Medicine | 610 W Adams St, Black River Falls, WI 54615 | 2016-06-01 |
| 1154737880 | April Alexandria Leonardo | Family Medicine | 610 W Adams St, Black River Falls, WI 54615-9010 | 2014-07-02 |
| 1346660685 | Neil Francis Cox | Family Medicine | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2014-04-25 |
| 1710305230 | Carolyn Wakeman | Family Medicine | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2014-04-01 |
| 1093073975 | Michelle J Clark-forsting | Family Medicine | 610 W Adams St, Black River Falls, WI 54615-9010 | 2012-04-27 |
| Find all providers in BLACK RIVER FALLS | ||||
| City | BLACK RIVER FALLS |
| Zip Code | 54615 |
Please comment or provide details below to improve the information on DAVID B KELLEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.