Individual provider · Type 1 NPI
Kendra Mickelson
Skilled Nursing Facility · Eureka, IL
Practice location
700 N Main St
Eureka, IL 61530-1085
Fax (309) 467-9011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 0042424 (IL) |
| Skilled Nursing Facility | 314000000X | 1694647 (IL) |
Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…
5 other providers at this address
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- Edward J. Hodel Iv, PTPhysical Therapist Eureka, IL NPI 1043658743
- Jesse Ellen Kolb, COTAOccupational Therapy Assistant Eureka, IL NPI 1346835105
About NPI 1992158356
Kendra Mickelson's National Provider Identifier is 1992158356, issued on Jul 20, 2016. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Eureka, IL. The record was last updated on Jul 20, 2016.