Active NPI
Lisa M Kehl, RD CD
- Nephrology Physician
- Appleton, WI
National Provider Identifier
1306950209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 172729
- Practice address
- 2701 N Oneida St
Ste D
Appleton, WI 54911 - Phone
- (920) 730-4960
- Fax
- (920) 739-0953
- NPI assigned
- Aug 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 172729 | WI | Primary |
Addresses
Primary practice location
2701 N Oneida St
Ste D
Appleton, WI 54911
Mailing address
2701 N Oneida St
Ste D
Appleton, WI 54911
Phone (920) 730-4960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 172729 | WI | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306950209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 N ONEIDA ST",
"address_2": "STE D",
"city": "APPLETON",
"state": "WI",
"postal_code": "54911",
"telephone_number": "920-730-4960",
"fax_number": "920-739-0953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 N ONEIDA ST",
"address_2": "STE D",
"city": "APPLETON",
"state": "WI",
"postal_code": "54911",
"telephone_number": "920-730-4960",
"fax_number": "920-739-0953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEHL",
"first_name": "LISA",
"middle_name": "M",
"credential": "RD CD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "WI",
"license": "172729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.