Nicole Kellner, is a
Student In An Organized Health Care Education/training Program based in Cheshire, Connecticut. Nicole Kellner is licensed to practice in * (Not Available) (license number ) and her current practice location is
382 S Main St, Cheshire, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(203) 250-9663.
NPI number for Nicole Kellner is 1164930244 and her current mailing address is 995 Day Hill Rd, Windsor, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164930244.
Healthcare Provider's Profile
| Full Name | Nicole Kellner |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 382 S Main St, Cheshire, Connecticut |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1164930244
- Provider Enumeration Date: 01/11/2018
- Last Update Date: 02/02/2024
Medical Identifiers
Medical identifiers for Nicole Kellner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164930244 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Nicole Kellner 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 |
|---|
Nicole Kellner,
995 Day Hill Rd,
Windsor, CT 06095-1722
Ph: (860) 731-5522 | Nicole Kellner,
382 S Main St,
Cheshire, CT 06410-1379
Ph: (203) 250-9663 |
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