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KORNELY PODIATRY, LLC
NPI 1861449720
Podiatrist in West Bend, WI

Active since May 27, 2006
2358 W WASHINGTON ST, WEST BEND, WI 53095(262) 335-2930(262) 335-2931 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 1, 2022, May 21, 2019 (2 updates tracked since 2019).

About Kornely Podiatry, Llc NPPES

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

KORNELY PODIATRY, LLC (NPI 1861449720) is a healthcare organization registered as a podiatrist in West Bend, Wisconsin and active in the NPI registry since May 2006. The organization lists Lisa G. Kornely, Owner, as its authorized official.

NPPES Registry Identity

NPI1861449720
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameKORNELY PODIATRY, LLC
Location Address2358 W WASHINGTON STWest Bend, WI 53095-2118
Mailing Address2358 W Washington StWest Bend, WI 53095-2118 · (262) 335-2930 · Fax (262) 335-2931
Phone(262) 335-2930
Fax(262) 335-2931
Organization SubpartNo
Authorized OfficialLisa G. KornelyOwner · (262) 335-2930
Enumeration DateMay 27, 2006
Last NPPES UpdateFebruary 1, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2022
✔ NPI 1861449720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in WI · 774-025
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
2358 W WASHINGTON ST, West Bend, WI 53095
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Other Identifiers 1

Medicaid43225400WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Quartz.Insurance ›

Other Providers at the Same Location NPPES

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

DR. LISA GUSTINE KORNELY D.P.M.
Podiatrist
2358 W WASHINGTON ST
WEST BEND, WI 53095
Washington County (262) 335-2930

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 Kornely Podiatry, LLC's NPI number?

The NPI number for Kornely Podiatry, LLC is 1861449720. It was assigned to this organization in the NPPES registry on May 27, 2006.

Where is Kornely Podiatry, LLC located?

Kornely Podiatry, LLC is located at 2358 W Washington St, West Bend, WI 53095. The listed phone number is (262) 335-2930.

What is Kornely Podiatry, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

What insurance does Kornely Podiatry, LLC accept?

Health plans from CareSource (Common Ground Healthcare) and Quartz list Kornely Podiatry, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kornely Podiatry, LLC was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.