Organization
KIM SICKELS NURSE PRACTITIONER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM ANNETTE SICKELS NURSE PRACTITIONER (NURSE PRACTITIONER)
(502) 939-9754
Entity
Organization
Contact information
Practice address
3103 HERITAGE HEIGHTS WAY, JEFFERSONVILLE, IN 47130-8934
(502) 939-9754
(812) 284-6550
Mailing address
3103 HERITAGE HEIGHTS WAY, JEFFERSONVILLE, IN 47130-8934
(502) 939-9754
(812) 284-6550
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
4488P
KY
363LA2200X
Adult Health Nurse Practitioner
Primary
71000724A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00410
MEDICARE GROUP
KY
05
—
200222290B
—
IN
05
—
78007168
—
KY
Enumeration date
05/22/2007
Last updated
12/05/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us