KATHLEEN DOYLE-KELLY D.D.S.
NPI 1942622337
Dentist - General Practice in Fond Du Lac, WI

Active since January 20, 2014PECOS Enrolled
570 FOND DU LAC AVE, FOND DU LAC, WI 54935(920) 907-1400(920) 907-1300 Get Directions Write a Review

NPPES record last updated: September 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen Doyle-kelly D.d.s. NPPES

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

KATHLEEN DOYLE-KELLY D.D.S. (NPI 1942622337) is an individual general practice provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (4211) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942622337
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameKATHLEEN DOYLE-KELLYCredential: D.D.S.
Location Address570 FOND DU LAC AVEFond Du Lac, WI 54935-5442
Mailing Address570 Fond Du Lac AveFond Du Lac, WI 54935-5442 · (920) 907-1400 · Fax (920) 907-1300
Fax(920) 907-1300
Sole ProprietorYes
Enumeration DateJanuary 20, 2014
Last NPPES UpdateSeptember 20, 2016
NPI 1942622337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · 4211
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
570 FOND DU LAC AVE, Fond Du Lac, WI 54935

Other Identifiers 1

OtherU81344WI · Upin

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kathleen Doyle-kelly D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54935 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kathleen Doyle-kelly's NPI number?

The NPI number for Kathleen Doyle-kelly is 1942622337. It was assigned to this individual provider in the NPPES registry on January 20, 2014.

Where is Kathleen Doyle-kelly located?

Kathleen Doyle-kelly practices at 570 Fond Du Lac Ave, Fond Du Lac, WI 54935. The listed phone number is (920) 907-1400.

What is Kathleen Doyle-kelly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kathleen Doyle-kelly enrolled in Medicare?

Yes. Kathleen Doyle-kelly is registered in the Medicare PECOS enrollment system.

What insurance does Kathleen Doyle-kelly accept?

Health plans from Delta Dental of Wisconsin, Inc. list Kathleen Doyle-kelly 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 Kathleen Doyle-kelly was last updated on September 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.