Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly C O'Heron, RDCD

Individual provider Registered Dietitian · NPI 1326062415

Kelly C O'Heron, RDCD is a Registered Dietitian OR Nutrition Professional in Columbus, Wisconsin. Qualified in 2005, 21 years ago. Practices with Prairie Ridge Health Inc, a 68-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
21
Licensed in
WI
In the registry since
2006
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Practice location Address checks out

1515 Park Ave
Columbus, WI 53925-2402
Phone: (920) 623-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1515 Park Ave, Columbus, WI 53925 — (920) 623-2200

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 1939 (WI)

Record details

NPI number1326062415
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDCD
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Prairie Ridge Health Inc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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