Organization · Type 2 NPI
Kim Sickels Nurse Practitioner, LLC
Adult Health Nurse Practitioner · Jeffersonville, IN
NPI number
1447469580
Active
Practice location
3103 Heritage Heights Way
Jeffersonville, IN 47130-8934
Fax (812) 284-6550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 71000724A (IN) |
| Adult Health Nurse Practitioner | 363LA2200X | 4488P (KY) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1447469580
Kim Sickels Nurse Practitioner, LLC's National Provider Identifier is 1447469580, issued on May 22, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Jeffersonville, IN. The record was last updated on Dec 5, 2007.