Individual provider · Type 1 NPI

Kayelin Hathorn, ACNP

Acute Care Nurse Practitioner · Springfield, MO

NPI number 1639985773 Active

Practice location

3800 S National Ave Ste 600
Springfield, MO 65807-5249

Mailing address

PO Box 505673
St. Louis, MO 63150-5673

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X2024047334 (MO)
Adult Health Nurse Practitioner 363LA2200X2024047334 (MO)
Critical Care Medicine Nurse Practitioner 363LC0200X2024047334 (MO)
Gerontology Nurse Practitioner 363LG0600X2024047334 (MO)
Acute Care Nurse Practitioner Primary 363LA2100X2024047334 (MO)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1639985773

Kayelin Hathorn, ACNP's National Provider Identifier is 1639985773, issued on Dec 4, 2024. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Springfield, MO. The record was last updated on Feb 6, 2025.