KENDRA MICKELSON
NPI 1992158356
Skilled Nursing Facility in Eureka, IL
About Kendra Mickelson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENDRA MICKELSON (NPI 1992158356) is an individual skilled nursing facility provider in Eureka, Illinois, licensed in Illinois (0042424) and active in the NPI registry since July 2016.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kendra Mickelson's NPI number?
The NPI number for Kendra Mickelson is 1992158356. It was assigned to this individual provider in the NPPES registry on July 20, 2016.
Where is Kendra Mickelson located?
Kendra Mickelson practices at 700 N Main St, Eureka, IL 61530. The listed phone number is (309) 467-9094.
What is Kendra Mickelson's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
When was this NPI record last updated?
The NPPES record for Kendra Mickelson was last updated on July 20, 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.