Individual
KELLEN E SHERLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
304 E 3RD ST, WASHINGTON, KS 66968-2033
(785) 325-2211
(785) 325-3224
Mailing address
304 E 3RD ST, WASHINGTON, KS 66968-2033
(785) 325-2211
(785) 325-3224
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TEP6844
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016289074
PTAN
KS
05
—
10028486502
—
NE
05
—
30004389220002
—
KS
05
—
470553011-00
—
NE
Enumeration date
07/03/2012
Last updated
03/27/2026
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