person
Kellie Michelle Hickerson, RNBSNMSNPMHNP-BC
Psychiatric/Mental Health Clinical Nurse Specialist in Beaver Dam, Kentucky
NPI 1538841382

Kellie Michelle Hickerson is a Psychiatric/Mental Health Clinical Nurse Specialist based in Hartford, KY and is specialized in Psychiatric/Mental Health. Kellie Michelle Hickerson practices in Beaver Dam, KY and has the professional credentials of RNBSNMSNPMHNP-BC. The NPI Number for Kellie Michelle Hickerson is 1538841382 and holds a License No. 4007496 (Kentucky).

The current practice location address for Kellie Michelle Hickerson is 1621 N Main St, Beaver Dam, KY and can be reached out via phone at 270-274-9222.

Location: 1621 N Main St, Beaver Dam, KY, 42347-9032
person
Provider Profile Details
NPI Number
1538841382
Provider Name
Kellie Michelle Hickerson
Credential
RNBSNMSNPMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1621 N Main St, Beaver Dam, KY, 42347-9032
Phone Number
270-274-9222
Fax Number
Provider Enumeration Date
08/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1621 N Main St
City
State
Zip
42320-8963
Phone Number
270-274-9222
Fax Number
person
Provider Business Mailing Address Details
Address
1621 N Main St
City
State
Zip
42320-8963
Phone Number
270-274-9222
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
4007496 (Kentucky)
Definition
Definition to come...
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