Provider Demographics
NPI:1255880621
Name:HINSCH, KELLI KRISTINE (DNP)
Entity type:Individual
Prefix:DR
First Name:KELLI
Middle Name:KRISTINE
Last Name:HINSCH
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1680 DIAGONAL RD
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:56187-1008
Mailing Address - Country:US
Mailing Address - Phone:507-372-3800
Mailing Address - Fax:
Practice Address - Street 1:1444 2ND AVE SE
Practice Address - Street 2:
Practice Address - City:SIOUX CENTER
Practice Address - State:IA
Practice Address - Zip Code:51250-1110
Practice Address - Country:US
Practice Address - Phone:712-363-0643
Practice Address - Fax:444-059-6458
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-27
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCP001257363LF0000X
MNCNP 4821363LF0000X
IAA160254363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily