Mr. Kellen Joseph Ibiza, CNC
Mr. Kellen Joseph Ibiza, CNC is a Health & Wellness Coach in North Prairie, Wisconsin. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
108 N Harrison StNorth Prairie, WI 53153-9791
Phone: (312) 826-6073
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health & Wellness Coach (primary) | Taxonomy 171400000X |
|---|
Record details
| NPI number | 1043933021 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CNC |
| Sole proprietor | No |
| NPI enumerated | September 23, 2022 |
| Last updated in NPPES | September 23, 2022 |
| Certification date | September 23, 2022 |