Kelly A Pickens in Richland Center - Nurse Practitioner

Kelly A Pickens - NPI 1740281401

Kelly A Pickens is a Nurse Practitioner in Richland Center, Wisconsin. Kelly A Pickens practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kelly A Pickens is 1740281401. The last update date is 2012-06-26.

Kelly A Pickens's current location address is 301 E 2nd St, Richland Center, Wisconsin. You can contact this provider via phone number 6086476161 and fax number 6086473178. The mailing address for Kelly A Pickens is 301 E 2nd St, Richland Center, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly A Pickens
Address 301 E 2nd St, Richland Center, Wisconsin
Phone Number 6086476161
Fax Number 6086473178
Sole Proprietor N
Credentials APNP

NPI Number Detail

NPI Number 1740281401
Provider Enumeration Date 2005-08-03
Last Updated Date 2012-06-26

Provider Mailing Address Detail

Address 301 E 2nd St
City Richland Center
State Wisconsin (WI)
Post Code 535811900
Phone Number 6086476161
Fax Number 6086473178

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 2602
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
41264700 WI --
852480001 WI DMERC

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FAQs about Kelly A Pickens

What is the unique 10-digit identification code issued to Kelly A Pickens by the Centers for Medicare & Medicaid Services?

The Kelly A Pickens has been assigned the NPI (National Provider Identifier) 1740281401 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Kelly A Pickens is geographically located?

The Kelly A Pickens is physically situated at the following location: 301 E 2Nd St, Richland Center, WI, 535811900.

What is Kelly A Pickens's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kelly A Pickens is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.

On what date was the 1740281401 assigned to Kelly A Pickens?

The Kelly A Pickens was issued its 1740281401 on 2005-08-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Kelly A Pickens last refreshed?

The information related to the Kelly A Pickens, including its address, specialty, and other relevant details, was last updated on 2012-06-26.

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