KELLIE DICKERSON NPI 1174292031

NPI Information

NPI: 1174292031
Provider Name: KELLIE DICKERSON
Classification: Registered Nurse - 163WA2000X
Entity Type: Individual

Specialization: Administrator

Address:
937 E 186TH ST
WESTFIELD, IN
ZIP 46074
Phone: (317) 804-8044
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Kellie Dickerson is an administrator registered nurse in Westfield, IN. Kellie Dickerson NPI is 1174292031. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

937 E 186TH ST
WESTFIELD, IN
ZIP 46074-827
Phone: (317) 804-8044

The enumeration date for this NPI number is 9/13/2021 and was last updated on 9/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WG0600X	Registered Nurse	Gerontology	28237448A	INDIANA	No
2	163WA2000X	Registered Nurse	Administrator	28237448A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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