Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelley Nicole Dilliard, DO

Individual provider Family Medicine Physician · NPI 1114411956

Kelley Nicole Dilliard, DO is a Family Practice in Wausau, Wisconsin. Graduated from Liberty Univ College of Osteopathic Medicine in 2018, 8 years ago. Practices with Aspirus Wausau Hospital Inc, a 240-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Wisconsin.

Years since qualifying
8
Trained at
Liberty Univ College of Osteopathic Medicine
Licensed in
IL, WI
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2720 Plaza Dr Ste 1300
Wausau, WI 54401-4165
Phone: (715) 847-2630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 75853-21 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036153728 (IL)

Record details

NPI number1114411956
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 15, 2018
Last updated in NPPESSeptember 1, 2021
Certification dateSeptember 1, 2021
Mailing address2720 Plaza Dr Ste 1300, Wausau, WI 54401-4165

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLIBERTY UNIV COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2018 (8 years in practice)
Group practice Aspirus Wausau Hospital Inc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Wausau