Kelley M Mitchell X, LPN in Carrier Mills, IL - Licensed Practical Nurse

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.

Contact Information

	Kelley M Mitchell X, LPN
	210 Miller Street, Carrier Mills, IL 62917
	(618) 713-2270
	Not Available

Provider's Profile

Full Name	Kelley M Mitchell X
Gender	Female
Speciality	Licensed Practical Nurse
Location	210 Miller Street, Carrier Mills, Illinois
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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Kelley M Mitchell X, LPN - Licensed Practical Nurse in Carrier Mills, IL