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MR. KELLEN JOSEPH IBIZA CNC
NPI 1043933021
Health and Wellness Coach in North Prairie, WI

Active since September 23, 2022
108 N HARRISON ST, NORTH PRAIRIE, WI 53153(312) 826-6073 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Kellen Joseph Ibiza Cnc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KELLEN JOSEPH IBIZA CNC (NPI 1043933021) is an individual health and wellness coach provider in North Prairie, Wisconsin and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1043933021
Entity TypeIndividualMale
Primary Taxonomy171400000X
Provider Legal NameMR. KELLEN JOSEPH IBIZACredential: CNC
Location Address108 N HARRISON STNorth Prairie, WI 53153-9791
Mailing Address108 N Harrison StNorth Prairie, WI 53153-9791 · (312) 826-6073
Phone(312) 826-6073
Sole ProprietorNo
Enumeration DateSeptember 23, 2022
NPPES CertifiedSeptember 23, 2022
✔ NPI 1043933021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHealth and Wellness CoachOther Service Providers
Taxonomy Code171400000X
Definition
The Health & Wellness Coach is trained in motivational theories, strategies, and communication techniques, which are used to assist patients to develop intrinsic motivation and obtain skills to create sustainable change for improved health and well-being. Health and wellness coaching is a patient-centered approach wherein patients at least partially determine their goals, use self-discovery or active learning processes together with content education to work toward their goals, and self-monitor behaviors to increase accountability, all within the context of an interpersonal relationship with a coach.
108 N HARRISON ST, North Prairie, WI 53153
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Other Names 1

Professional Name (2)Mr. Kj Bradford

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellen Ibiza's NPI number?

The NPI number for Kellen Ibiza is 1043933021. It was assigned to this individual provider in the NPPES registry on September 23, 2022. The provider is also known as Mr. Kj Bradford.

Where is Kellen Ibiza located?

Kellen Ibiza practices at 108 N Harrison St, North Prairie, WI 53153. The listed phone number is (312) 826-6073.

What is Kellen Ibiza's specialty?

The primary specialty registered for this NPI is Health and Wellness Coach with taxonomy code 171400000X.

When was this NPI record last updated?

The NPPES record for Kellen Ibiza was last updated on September 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.