Mixon, Kelly

Mixon, Kelly is an sole proprietor health care provider with primary practice located at 1361 W Fremont St , Galesburg IL 61401-2436. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mixon, Kelly can be contacted via phone (309) 344-2225.

Contact Information

Primary practice address
1361 W Fremont St Galesburg IL 61401-2436
Phone: (309) 344-2225
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209014389 Illinois

Profile Details

NPI number 1356792618
LBN Legal business name Mixon, Kelly
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2016
Last updated Jun 28th, 2016 - about 9 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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