Individual
KELLY L NICKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
401 GAYLORD DR, FULTON, MO 65251-2517
(573) 642-8541
(573) 642-8500
Mailing address
401 GAYLORD DR, FULTON, MO 65251-2517
(573) 642-8541
(573) 642-8500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2002015010
MO
225100000X
Physical Therapist
Primary
2002015010
MO
Other
Enumeration date
10/01/2007
Last updated
04/19/2023
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