person
Shawnee Lynn Kellison, RNBCFNP
General Practice Registered Nurse in Kirksville, Missouri
NPI 1063495463

Shawnee Lynn Kellison is a General Practice Registered Nurse based in Kirksville, MO and is specialized in General Practice. Shawnee Lynn Kellison practices in Kirksville, MO and has the professional credentials of RNBCFNP. The NPI Number for Shawnee Lynn Kellison is 1063495463 and holds a License No. 113721 (Missouri).

The current practice location address for Shawnee Lynn Kellison is 700 W Jefferson St, Kirksville, MO and can be reached out via phone at 660-626-2191 and via fax at 660-626-2396.

Location: 700 W Jefferson St, Kirksville, MO, 63501-1441
person
Provider Profile Details
NPI Number
1063495463
Provider Name
Shawnee Lynn Kellison
Credential
RNBCFNP
Provider Entity Type
Individual
Gender
Female
Address
700 W Jefferson St, Kirksville, MO, 63501-1441
Phone Number
660-626-2191
Fax Number
660-626-2396
Provider Enumeration Date
11/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
501218200 01 MO MEDICAID GROUP #
428713812 05 MO
DG4290 01 MO RAILROAD MEDICARE GROUP #
000014853 01 MEDICARE GROUP #
P00435145 01 MO RAILROAD MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
700 W Jefferson St
City
State
Zip
63501-1441
Phone Number
660-626-2191
Fax Number
660-626-2396
person
Provider Business Mailing Address Details
Address
700 W Jefferson St
City
State
Zip
63501-1441
Phone Number
660-626-2191
Fax Number
660-626-2396
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
License No.
113721 (Missouri)
Definition
Definition to come...
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