MR. Kellen Joseph Ibiza, CNC
NPI #1043933021 in North Prairie, Wisconsin
Provider Information
- NPI Number
- 1043933021
- Entity Type
- Individual
- Name
- MR. Kellen Joseph Ibiza, CNC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Health & Wellness Coach
- Credential
- CNC
- Enumeration Date
- Sep 23, 2022
- Last Updated
- Sep 23, 2022
Practice Location
- Address
- 108 N HARRISON ST
- City
- North Prairie
- State
- Wisconsin
- ZIP Code
- 53153-9791
- Phone
- (312) 826-6073
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health & Wellness Coach |
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