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KELLY MIXON APN
NPI 1356792618
Nurse Practitioner - Family in Galesburg, IL

Active since June 28, 2016
1361 W FREMONT ST, GALESBURG, IL 61401(309) 344-2225 Get Directions Write a Review

NPPES record last updated: June 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Mixon Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY MIXON APN (NPI 1356792618) is an individual family provider in Galesburg, Illinois, licensed in Illinois (209014389) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1356792618
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY MIXONCredential: APN
Location Address1361 W FREMONT STGalesburg, IL 61401-2436
Mailing Address530 Hillbrook EstGalesburg, IL 61401-8439
Phone(309) 344-2225
Sole ProprietorYes
Enumeration DateJune 28, 2016
✔ NPI 1356792618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209014389
1361 W FREMONT ST, Galesburg, IL 61401
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COUNTY OF KNOX
Public Health or Welfare
1361 W FREMONT ST
GALESBURG, IL 61401
Knox County (309) 344-2224
HANNAH ERICKSON ARNP
Nurse Practitioner (Family)
1361 W FREMONT ST
GALESBURG, IL 61401
Knox County (309) 344-2225
JAZMIN NICOLE JOHNSON DMD
Dentist
1361 W FREMONT ST
GALESBURG, IL 61401
Knox County (309) 344-2224
DR. DAVID JUN DDS
Dentist
1361 W FREMONT ST
GALESBURG, IL 61401
Knox County (563) 505-1198
ROBERT WAGNER M.D.
Family Medicine
1361 W FREMONT ST
GALESBURG, IL 61401
Knox County (309) 344-2225
KNOX COMMUNITY HEALTH CENTER NFP
Clinic/Center (Federally Qualified Health Center (FQHC))
1361 W FREMONT ST
GALESBURG, IL 61401
Knox County (309) 344-2225
MS. HILLARY SEARLES NP
Nurse Practitioner (Family)
1361 W FREMONT ST
GALESBURG, IL 61401
Knox County (309) 344-2225
MICHAEL ROZNY
Dentist
1361 W FREMONT ST
GALESBURG, IL 61401
Knox County (309) 344-3314

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Mixon's NPI number?

The NPI number for Kelly Mixon is 1356792618. It was assigned to this individual provider in the NPPES registry on June 28, 2016.

Where is Kelly Mixon located?

Kelly Mixon practices at 1361 W Fremont St, Galesburg, IL 61401. The listed phone number is (309) 344-2225.

What is Kelly Mixon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kelly Mixon was last updated on June 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.