Kelley M Mitchell X, LPN is a
Licensed Practical Nurse based in Carrier Mills, Illinois. Kelley M Mitchell X is licensed to practice in Illinois (license number 043075812) and her current practice location is
210 Miller Street, Carrier Mills, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 713-2270.
NPI number for Kelley M Mitchell X is 1285172395 and her current mailing address is Po Box 321, 210 North Miller Street, Carrier Mills, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285172395.
Provider's Profile
Full Name | Kelley M Mitchell X |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 210 Miller Street, Carrier Mills, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285172395
- Provider Enumeration Date: 02/09/2017
- Last Update Date: 02/09/2017
Medical Identifiers
Medical identifiers for Kelley M Mitchell X such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285172395 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 043075812 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelley M Mitchell X is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelley M Mitchell X, LPN Po Box 321, 210 North Miller Street, Carrier Mills, IL 62917 Ph: (618) 713-2270 | Kelley M Mitchell X, LPN 210 Miller Street, Carrier Mills, IL 62917 Ph: (618) 713-2270 |
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