NPI Index

KELLIE HICKERSON, RN BSN MSN PMHNP-BC

Clinical Nurse Specialist - Psychiatric/Mental Health

Active Individual
NPI: 1538841382

Practice Address

1621 N MAIN ST
Beaver Dam, KY 42320

Phone: (270) 274-9222

Specialties

Specialty Code Primary License
Clinical Nurse Specialist - Psychiatric/Mental Health 364SP0808X Yes 4007496 (KY)

Frequently Asked Questions

NPI 1538841382 is the National Provider Identifier for KELLIE HICKERSON, RN BSN MSN PMHNP-BC, a Clinical Nurse Specialist - Psychiatric/Mental Health provider located in Beaver Dam, KY. This NPI was enumerated on August 2, 2023.
KELLIE HICKERSON, RN BSN MSN PMHNP-BC practices at 1621 N MAIN ST, Beaver Dam, KY 42320.

Quick Facts

NPI
1538841382
Type
Individual
Enumerated
Aug 2, 2023
Last Updated
Aug 2, 2023

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