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Kelly Beth Heidle, D.O.

Internal Medicine Physician in Kenosha, WI · enumerated 2013.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1992044846

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Registry record

Entity type Individual (Type 1)
Name Kelly Beth Heidle
Credential D.O.
Sex Female
Practice address 6308 8th Ave, Kenosha, WI, 53143
Fax (414) 290-6755
Enumeration date Feb 12, 2013
Last updated in NPPES Dec 28, 2021

Taxonomy & licenses

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 67122-21 (WI) Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License OS018162 (PA) Secondary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier Type State Issuer
0182229 Other PA OHIO MEDICAID
1031239290001 Medicaid PA -
003403181 Other PA HIGHMARK BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Kelly Heidle?
The National Provider Identifier (NPI) for Kelly Heidle is 1992044846, a Type 1 (individual) record in the CMS NPPES registry.
Where does Kelly Heidle practice?
The practice location on file with NPPES is in Kenosha, WI. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-12-28.