NPI 1013370634 KELLIE R WILSON LPN MANISTEE MI. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Kellie R Wilson - NPI: 1013370634

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: KELLIE R WILSON
NPI Number: 1013370634
Entity Type Code: Individual (1)
Gender: F
Credentials: LPN
License Number: 4703108511
Business Practice Address: 385 7th St
Manistee, MI - 496601966
Business Phone Number: 2312332565
Business Fax Number: 2317236335
Mailing Address: 385 7th St,
MANISTEE
State: MI
Postal Code: 496601966
Phone Number: 2312332565
Fax Number: 2317236335
NPI Enumeration Date: 03/31/2016
NPI Last Update Date: 03/31/2016
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 164W00000X
License Number: 4703108511
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MI
Taxonomy Type: Nursing Service Providers
Taxonomy Classification: Licensed Practical Nurse
Taxonomy Specialization:
Taxonomy Definition:
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.


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