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Deactivated NPI 1982187209 Deactivated / Inactive NPI Male Practitioner

Kellen Grimm , L AC

Acupuncturist • Milwaukee, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kellen Grimm has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 12, 2018
NPI Deactivation Date April 01, 2021
Total Practice Duration ~3 Years of Practice (2018 – 2021)

Professional Overview & Biography Verified Profile Summary

Kellen Grimm, L AC was a registered Acupuncturist practicing in Milwaukee, WI. Throughout an active medical career spanning 3 years, Kellen Grimm provided care at the practice location at 531 S WATER ST STE 200 until profile deactivation on 2021-04-01.

Practice Location & Contact Primary Location

Practice Address

531 S Water St Ste 200

Milwaukee, WI 532041668

Telephone 5172421870

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Milwaukee, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.0 Yrs
Regional Practice Density
40 Specialists

Practicing in Milwaukee, WI (419 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-11-16
Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License WI 967-55

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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Updated Practice Location November 16, 2022

Registered at 531 S WATER ST STE 200, MILWAUKEE, WI 532041668 (Tel: 5172421870)

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Updated Business Mailing Address November 16, 2022

Registered at 531 S WATER ST STE 200, MILWAUKEE, WI 532041668

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Provider Name / Credentials Updated November 16, 2022

Recorded as KELLEN GRIMM, L. AC

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2022

Acupuncturist (License #967-55 in WI)

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NPI Profile Deactivated April 01, 2021

Record deactivated on April 01, 2021

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Updated Business Mailing Address February 20, 2021

Registered at PO BOX 72114, MILWAUKEE, WI 532127314

NPI Profile Active September 12, 2018

NPI status registered as active in NPPES database

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Updated Practice Location September 12, 2018

Registered at 231 E BUFFALO ST STE 306, MILWAUKEE, WI 532025727 (Tel: 4142398234)

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Updated Business Mailing Address September 12, 2018

Registered at 231 E BUFFALO ST STE 306, MILWAUKEE, WI 532025727 (Tel: 4142398234)

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Provider Name / Credentials Updated September 12, 2018

Recorded as KELLEN GRIMM, L. AC

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2018

Acupuncturist (License #967-55 in WI)

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Initial NPI Registration & Enumeration September 12, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982187209
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2018
Last Update: November 16, 2022
Deactivation Date: April 01, 2021
Sole Proprietor: Yes

Mailing Address

531 S Water St Ste 200

Milwaukee, WI 532041668

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.