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

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

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: July 19, 2026.

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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.

DR. MATTHEW RAYMOND ROZNY D.M.D

Dentist (Dental Public Health)