DR. KURTIS S KELLNER (NPI# 1831328293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831328293 |
| Entity Type | Individual |
| Full Name | DR. KURTIS S KELLNER |
| Credential | D.D.S. |
| Practice Address |
4008 Enterprise Dr Sheboygan WI 53083-2245 |
| Practice Telephone | 9204575170 |
| Practice Fax Number | 9204572450 |
| Mailing Telephone | 9204575170 |
| Mailing Fax Number | 9204572450 |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2009-07-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0002949 | WI | Dental Providers |
| Street Address |
4008 ENTERPRISE DR |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53083-2245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629341748 | Wendy Marie Kirst | Licensed Practical Nurse | 2639 North 9th Street, Sheboygan, WI 53083 | 2012-02-21 |
| 1194912493 | Assisted Living Concepts Inc | Assisted Living Facility | 1231 Eisner Avenue, Sheboygan, WI 53083 | 2007-10-01 |
| 1629265350 | David P Mayer | Dentist | 2705 N 8th Street, Sheboygan, WI 53083 | 2007-09-26 |
| 1760683510 | Ginger Adams | Physical Therapy Assistant | 3431 North 13th Street, Sheboygan, WI 53083 | 2007-05-30 |
| 1295947778 | Jodi Lynn Wagner | Occupational Therapist | 2629 North 7th Street, Sheboygan, WI 53083 | 2007-05-04 |
| 1306067491 | School District of Howards Grove | Local Education Agency (LEA) | 403 Audubon Road, Howards Grove, WI 53083 | 2007-05-02 |
| 1902023955 | Aurora Health Care Central, Inc. | Community/Behavioral Health | 2629 N 7th St., Sheboygan, WI 53083 | 2007-04-19 |
| 1497860498 | Charles J Gehring Jr. | Anesthesiology | 4945 Blackstock Rd, Sheboygan, WI 53083 | 2006-08-20 |
| 1760595300 | Tina Marie Ottman-boykin | Counselor | 2801 Calumet Drive, Sheboygan, WI 53083 | 2006-08-17 |
| 1588043186 | Abby M Safranski | Family Medicine | 620 S Wisconsin Dr, Howards Grove, WI 53083 | 2015-05-28 |
| Find all providers in zip 53083 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
| 1477993673 | Family Dental of South Sheboygan | Dentist | 3555 Washington Ave, Sheboygan, WI 53081 | 2013-07-02 |
| 1629265350 | David P Mayer | Dentist | 2705 N 8th Street, Sheboygan, WI 53083 | 2007-09-26 |
| 1184844821 | Timothy Walter Kaufmann | Dentist | 2819 N 8th St, Sheboygan, WI 53083-4118 | 2007-04-26 |
| 1134248628 | Daniel Albert Humiston | Dentist | 1337 N Taylor Dr, Sheboygan, WI 53081-3012 | 2007-03-28 |
| 1184753519 | Robert Patrick Darling | Dentist | 638 Riverfront Dr, Suite G40, Sheboygan, WI 53081-4629 | 2007-03-02 |
| 1821149493 | Dean Delasanta | Dentist | 1431 N 8th St, Sheboygan, WI 53081-3441 | 2007-01-12 |
| 1306900550 | Rhonda Louise Sleiter | Dentist | 3233 Superior Ave, Sheboygan, WI 53081-1858 | 2006-12-21 |
| 1639258577 | Peter J Steinert | Dentist | 1214 S 23rd St, Sheboygan, WI 53081-5012 | 2006-11-02 |
| 1750468054 | Bruce A. Feider | Dentist | 2926 S 12th St, Sheboygan, WI 53081-6706 | 2006-11-01 |
| Find all providers in SHEBOYGAN | ||||
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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.