Individual
KELLI LICHTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1026 MAIN ST, LEXINGTON, MO 64067-1345
(660) 259-2216
(660) 259-3490
Mailing address
1026 MAIN ST, LEXINGTON, MO 64067-1345
(660) 259-2216
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020033399
MO
Other
Enumeration date
10/15/2020
Last updated
11/04/2021
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