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

Kelly Beth Heidle, DO

Individual provider Internal Medicine Physician · NPI 1992044846

Kelly Beth Heidle, DO is a Hospitalist in Kenosha, Wisconsin. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2013, 13 years ago. Practices with Vituity-Wisconsin Hm SC, a 29-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Pennsylvania and Wisconsin.

Years since qualifying
13
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
PA, WI
In the registry since
2013
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

6308 8th Ave
Kenosha, WI 53143-5031
Phone: (414) 290-6720
Fax: (414) 290-6755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 232 W 25th St, Erie, PA 16544-0002 — (814) 452-7605
  • 9555 76th St, Pleasant Prairie, WI 53158-1984 — (414) 290-6720

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 67122-21 (WI)
Internal Medicine Physician Taxonomy 207R00000X · Licence OS018162 (PA)

Record details

NPI number1992044846
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 12, 2013
Last updated in NPPESDecember 28, 2021
Certification dateDecember 28, 2021
Mailing address111 E Wisconsin Ave Ste 2000, Milwaukee, WI 53202-4809

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2013 (13 years in practice)
Group practice Vituity-Wisconsin Hm Sc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kenosha