DR. KENNETH J KELLNER (NPI# 1720195258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720195258 |
| Entity Type | Individual |
| Full Name | DR. KENNETH J KELLNER |
| Credential | MD |
| Practice Address |
4061 Old Peshtigo Rd Marinette WI 54143 |
| Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
| Practice Telephone | 7157328000 |
| Mailing Telephone | 4146476326 |
| Mailing Fax Number | 4146718860 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207R00000X | Internal Medicine | 36075969 | IL | Allopathic & Osteopathic Physicians |
| X | 207RN0300X |
Internal Medicine Specialization: Nephrology |
30271 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891140117 | Kenneth Martin Lester Kellner | Pediatrics | 5841 S Maryland Ave # Mc6060, Chicago, IL 60637-1443 | 2016-04-25 |
| Street Address |
4061 OLD PESHTIGO RD |
| City | MARINETTE |
| State | WI |
| Zip Code | 54143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568467850 | Vickie Marie Cloutier | Family Medicine | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 | 2005-06-15 |
| 1669008488 | Karin Beal | Social Worker | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 | 2020-03-13 |
| 1841844305 | Ashley Jones | Nurse Practitioner | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 | 2019-08-01 |
| 1710403324 | Ramona S Klevgard | Nurse Practitioner | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 | 2017-08-15 |
| 1295259596 | Cody A Pangrazzi | Social Worker | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 | 2017-07-28 |
| 1851759146 | Aurora Bay Area Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 | 2016-02-02 |
| 1629474721 | Khaled Elkady Hussein | Internal Medicine | 4061 Old Peshtigo Rd, Aurora Health Center, Marinette, WI 54143-3887 | 2014-11-17 |
| 1497190904 | Michelle L Shallow | Physical Therapy Assistant | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 | 2013-05-10 |
| 1376886614 | Tolulope Olakunle Abikoye | Family Medicine | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 | 2013-04-05 |
| 1780928846 | Natalie Ann Oberdorfer | Pharmacist | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 | 2012-11-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669966750 | Allie Parthie | Dentist | 1420 University Dr, Marinette, WI 54143 | 2018-06-21 |
| 1043730690 | Jonathan Weseman | Emergency Medicine | 3003 University Dr, Marinette, Marinette, WI 54143 | 2017-06-25 |
| 1538698618 | Meghan M Russell | Nurse Practitioner | 4061 Old Peshtigo Road, Marinette, WI 54143 | 2017-06-12 |
| 1801279435 | Stephanie Miller | Licensed Practical Nurse | W1902 State Hwy 64, Marinette, WI 54143 | 2015-07-01 |
| 1417298704 | Danielle Risner | Occupational Therapist | Luther Home 831 Pine Beach Rd, Marinette, WI 54143 | 2013-03-12 |
| 1053631903 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | W 716 County B, Ste B, Marinette, WI 54143 | 2010-06-02 |
| 1417105545 | Forefront Dermatology, S.c. | Dermatology | 3515 Murray Street, Marinette, WI 54143 | 2008-09-03 |
| 1245493352 | Judith M Ribbens | Counselor | 1557 Cleveland Ave, Marinette, WI 54143 | 2008-07-08 |
| 1538338926 | Charlene Mae Miller | Licensed Practical Nurse | 1126 Daggett, Marinette, WI 54143 | 2008-02-29 |
| 1104025519 | James Alan Boren | Family Medicine | 5926 Highway 41, Stephenson, MI 54143 | 2007-07-16 |
| Find all providers in zip 54143 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528163110 | Gerald J. Mccarthy | Internal Medicine | 3123 Shore Drive, Ste. 102, Marinette, WI 54143 | 2006-09-14 |
| 1033226303 | Yasser S Salem | Internal Medicine | 1281 Marinette Ave, Marinette, WI 54143-2018 | 2006-08-24 |
| 1952390783 | North Reach Healthcare LLC | Internal Medicine | 3120 Riverside Ave, Gate B Building 1, Marinette, WI 54143-1123 | 2005-10-14 |
| 1740277151 | Nicole A Hiniker | Internal Medicine | 2820 Roosevelt Road, Marinette, WI 54143-3834 | 2005-09-30 |
| 1134114200 | John Kellogg Mcguire | Internal Medicine | 3123 Shore Dr, Suite #102, Marinette, WI 54143-4287 | 2005-09-15 |
| 1336522531 | Krystian K Kozak | Internal Medicine | 3003 University Dr, Marinette, WI 54143 | 2015-07-07 |
| 1629474721 | Khaled Elkady Hussein | Internal Medicine | 4061 Old Peshtigo Rd, Aurora Health Center, Marinette, WI 54143-3887 | 2014-11-17 |
| 1093121527 | Alok Arora | Internal Medicine | 3003 University Dr, Marinette, WI 54143 | 2014-07-03 |
| 1043643836 | Hamza Shahran | Internal Medicine | 3003 University Dr, Marinette, WI 54143 | 2013-08-15 |
| 1407295496 | Behnam Hajihossainlou | Internal Medicine | 3003 University Dr, Marinette, WI 54143-4110 | 2013-06-23 |
| Find all providers in MARINETTE | ||||
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| 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.