Individual
KELLY DAWN TRICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
511 NE 10TH ST, ABILENE, KS 67410-2153
(785) 263-4131
(785) 263-1634
Mailing address
511 NE 10TH ST, ABILENE, KS 67410-2153
(785) 263-4131
(785) 263-1634
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
96033
KS
363L00000X
Nurse Practitioner
53-78991
KS
363LF0000X
Family Nurse Practitioner
Primary
53-78991-051
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004700400001
—
KS
Enumeration date
06/17/2020
Last updated
01/07/2026
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