Kelsey Hinterleitner
Individual provider Active NPI Other Specialist/Technologist · Woodruff, WI
NPI 1154077949 · NPPES record last updated Feb 10, 2024
Key facts
- NPI
- 1154077949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Specialist/Technologist 246Z00000X
- License
- 6580-403 (WI)
- Practice address
- 103 Elm St
Woodruff, WI 54568-9100 - Phone
- (715) 661-0639
- NPI assigned
- Mar 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1003312 | WI | MD | Dental Hygienist |
| 6580-403 | WI | MD | Other Specialist/Technologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 1003312 | WI | |
| Other Specialist/Technologist |
246Z00000X | 6580-403 | WI | Yes |
Addresses
Primary practice location
103 Elm St
Woodruff, WI 54568-9100
Mailing address
1280 Arrowhead Dr
Arbor Vitae, WI 54568-9701
Phone (715) 661-0639
Other names
- Kelsey Chiolino
Other providers in Woodruff, WI
- James L Hatch
- Kati L Havel
- Hearing Advantage LLC
- Ann E Hendrick
- Mary L Hertel
- Yvette K Hittle
- Steven M. Hoffmeister
- Cali Holan
- Greg S Holt
- Elizabeth Lee Horwath
All providers in Woodruff, WI · Other Specialist/Technologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.