Hickerson, Kellie Michelle

Hickerson, Kellie Michelle is an individual health care provider with primary practice located at 1621 N Main St , Beaver Dam KY 42320-8963. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Hickerson, Kellie Michelle can be contacted via phone (270) 274-9222.

Contact Information

Primary practice address
1621 N Main St Beaver Dam KY 42320-8963
Phone: (270) 274-9222
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 4007496 Kentucky

Profile Details

NPI number 1538841382
LBN Legal business name Hickerson, Kellie Michelle
Credentials RN BSN MSN PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2023
Last updated Aug 2nd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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