Rebecca Joan Kiekhoefer

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Practice address

416 S Lincoln Dr
Howards Grove, WI 53083-1243

Phone

(715) 456-6114

NPI assigned

Mar 15, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363305600000",
    "number": "1922349935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 S LINCOLN DR",
            "city": "HOWARDS GROVE",
            "state": "WI",
            "postal_code": "530831243",
            "telephone_number": "715-456-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 S LINCOLN DR",
            "city": "HOWARDS GROVE",
            "state": "WI",
            "postal_code": "530831243",
            "telephone_number": "715-456-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEKHOEFER",
        "first_name": "REBECCA",
        "middle_name": "JOAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David W. Kisiolek, O.D., S.C.
• Noemi Gisell Garcia, D.D.S.
• Howards Grove Family Dental, LLC
• Natalie Jensema
• Aric Jump
• David W Kisiolek, O.D.
• Gloria Jean Koeppen, L.P.N.
• Priyanka Kulkarni, MD
• Makayla Kaytlynn Kulow, DC
• Kelly Kunesh

• Surgical Technologist in Howards Grove, WI
• Providers in Howards Grove, WI by specialty
• Surgical Technologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.