Shawnee Lynn Kellison in Kirksville - General Practice
Shawnee Lynn Kellison - NPI 1063495463
Shawnee Lynn Kellison is a General Practice in Kirksville, Missouri. Shawnee Lynn Kellison practices all healthcare services and medical treatments related to General Practice. The NPI Number for Shawnee Lynn Kellison is 1063495463. The last update date is 2008-01-21.
Shawnee Lynn Kellison's current location address is 700 W Jefferson St, Kirksville, Missouri. You can contact this provider via phone number 6606262191 and fax number 6606262396. The mailing address for Shawnee Lynn Kellison is 700 W Jefferson St, Kirksville, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shawnee Lynn Kellison |
|---|---|
| Address | 700 W Jefferson St, Kirksville, Missouri |
| Phone Number | 6606262191 |
| Fax Number | 6606262396 |
| Sole Proprietor | N |
| Credentials | RNBCFNP |
NPI Number Detail
| NPI Number | 1063495463 |
|---|---|
| Provider Enumeration Date | 2005-11-21 |
| Last Updated Date | 2008-01-21 |
Provider Mailing Address Detail
| Address | 700 W Jefferson St |
|---|---|
| City | Kirksville |
| State | Missouri (MO) |
| Post Code | 635011441 |
| Phone Number | 6606262191 |
| Fax Number | 6606262396 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 163Wg0000X |
| Licence No | 113721 |
|
Definition: A registered nurse who provides general nursing care across health settings. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 501218200 | MO | MEDICAID GROUP # | |
| 428713812 | MO | -- | |
| DG4290 | MO | RAILROAD MEDICARE GROUP # | |
| 14853 | MEDICARE GROUP # | ||
| P00435145 | MO | RAILROAD MEDICARE PTAN |
Post Comment/ Review Below
What is the Shawnee Lynn Kellison's unique identification number?
The Shawnee Lynn Kellison has been assigned the NPI (National Provider Identifier) Number 1063495463 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Shawnee Lynn Kellison is geographically located?
The Shawnee Lynn Kellison is physically situated at the following location: 700 W Jefferson St, Kirksville, MO, 635011441.
What is Shawnee Lynn Kellison's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shawnee Lynn Kellison's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 163Wg0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063495463 to Shawnee Lynn Kellison?
The Centers for Medicare & Medicaid Services originally issued the 1063495463 to Shawnee Lynn Kellison on 2005-11-21.
When was the information related to Shawnee Lynn Kellison most recently updated or refreshed?
The details pertaining to the Shawnee Lynn Kellison, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-01-21.
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