Kendra Mickelson
Skilled Nursing Facility · Eureka, IL
Practice location
700 N Main StEureka, IL 61530-1085
- Phone
- (309) 467-9094
- Fax
- (309) 467-9011
NPI record
- NPI
- 1992158356
- Entity type
- Individual (Type 1)
- Enumeration date
- July 20, 2016
- Last updated
- July 20, 2016
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X |
0042424 | IL |
| Skilled Nursing Facility | 314000000X |
1694647 | IL |
About Kendra Mickelson
Kendra Mickelson is a healthcare provider registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 700 N Main St, Eureka, IL 61530-1085. The NPI number 1992158356 was assigned on July 20, 2016 and the record was last updated on July 20, 2016.
Kendra Mickelson lists 2 licenses in the registry: #0042424 (IL) for Skilled Nursing Facility; #1694647 (IL) for Skilled Nursing Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kendra Mickelson?
The NPI number is 1992158356.
What is the phone number of Kendra Mickelson?
The phone number listed for the practice location is (309) 467-9094.
Where is Kendra Mickelson located?
700 N Main St, Eureka, IL 61530-1085.
What is the taxonomy code for Kendra Mickelson?
The primary taxonomy code is 314000000X – Skilled Nursing Facility; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Skilled Nursing Facility providers in Eureka
- Apostolic Christian Home of Eureka610 W. Cruger St.
- Maple Lawn Health Center700 N Main St
- The Loft Rehabilitation and Nursing LLC700 N Main St