KELLY L KLIEBE - NPI 1215561600 - Registered Nurse in Dixon, IL

Q: What is Kelly Kliebe's NPI number?

The NPI number for Kelly Kliebe is 1215561600. It was assigned to this individual provider in the NPPES registry on February 25, 2020. The provider is also known as Kelly L Diehl Rn.

Q: What is Kelly Kliebe's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Kliebe was last updated on February 25, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kelly L Kliebe NPPES

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

KELLY L KLIEBE (NPI 1215561600) is an individual psychiatric/mental health provider in Dixon, Illinois, licensed in Illinois (0141404877) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1215561600

Entity TypeIndividualFemale

Primary Taxonomy163WP0808X

Provider Legal NameKELLY L KLIEBE

Location Address325 ILLINOIS RT 2Dixon, IL 61021-9118

Mailing Address106 E Indian Cove DrOregon, IL 61061-9320 · (815) 908-9919

Phone(815) 284-6611

Sole ProprietorNo

Enumeration DateFebruary 25, 2020

✔ NPI 1215561600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers

Taxonomy Code163WP0808X

Licenses✔ Licensed in IL · 0141404877✔ Licensed in TN · 197387

325 ILLINOIS RT 2, Dixon, IL 61021

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Other Names 1

Professional Name (2)Kelly L Diehl Rn

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAE LYNN METZLER8

Counselor (Mental Health)