Kendra Mickelson

NPI 1992158356 · on the registry since 2016 · sole proprietor

Practice

Address: 700 N Main St
Eureka, IL 61530
Phone: (309) 467-9094
Fax: (309) 467-9011
Organisation at this address: Maple Lawn Homes Inc.
Maple Lawn Health Center
The Loft Rehabilitation And Nursing Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 314000000X
314000000X
Also registered as: 314000000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-07-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois