Thacker, Kelsey Marie

Thacker, Kelsey Marie is an individual health care provider with primary practice located at 104 E Ashland Ave , Mt Zion IL 62549-1271. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Thacker, Kelsey Marie can be contacted via phone (217) 864-2665.

Contact Information

Primary practice address
104 E Ashland Ave Mt Zion IL 62549-1271
Phone: (217) 864-2665
Fax: (217) 864-8042
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209015926 Illinois

Profile Details

NPI number 1245765296
LBN Legal business name Thacker, Kelsey Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2017
Last updated Apr 27th, 2017 - about 7 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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