Provider Demographics
NPI:1043906720
Name:STIERWALT, KELBI DAWN
Entity Type:Individual
Prefix:
First Name:KELBI
Middle Name:DAWN
Last Name:STIERWALT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 E IRON AVE
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-3284
Mailing Address - Country:US
Mailing Address - Phone:888-878-6881
Mailing Address - Fax:
Practice Address - Street 1:1410 E IRON AVE STE 1
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-3285
Practice Address - Country:US
Practice Address - Phone:888-878-6881
Practice Address - Fax:316-469-0807
Is Sole Proprietor?:No
Enumeration Date:2023-04-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS149977163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management