Individual provider · Type 1 NPI

Michelle Kilcup

Family Nurse Practitioner · Mobile, AL

NPI number 1710760103 Active

Practice location

307 N University Blvd
Mobile, AL 36688-3053

Mailing address

12830 SE Ridgecrest Rd
Happy Valley, OR 97086-6134

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X201703283RN (OR)
Family Nurse Practitioner Primary 363LF0000X10063561 (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1710760103

Michelle Kilcup's National Provider Identifier is 1710760103, issued on Aug 17, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mobile, AL. The record was last updated on Jul 24, 2026.