Kellen, Aleshia Michelle

Kellen, Aleshia Michelle is an individual health care provider with primary practice located at 1000 E Primrose St Suite 400, Springfield MO 65807-5154. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Kellen, Aleshia Michelle can be contacted via phone (417) 269-7900.

Contact Information

Primary practice address
1000 E Primrose St Suite 400 Springfield MO 65807-5154
Fax: (417) 269-7990
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 2013022749 Missouri

Profile Details

NPI number 1316387509
LBN Legal business name Kellen, Aleshia Michelle
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2013
Last updated Dec 27th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316387509 NPPES
Missouri MEDICAID 420008732
Missouri MEDICAID 1316387509

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