Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLIE MICHELLE HICKERSON, RN BSN MSN PMHNP-BC
ActiveKELLIE MICHELLE HICKERSON, RN BSN MSN PMHNP-BC is a Psychiatric/Mental Health, Community CNS healthcare provider located in BEAVER DAM, Kentucky. NPI 1538841382 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health, Community CNS · BEAVER DAM, KY
Registration Details
- NPI Number
- 1538841382
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 2, 2023 (3.0762022284395 yrs)
- Last Updated
- Aug 2, 2023
- License
-
4007496 (KY)
Practice Information
- Address
-
1621 N MAIN STBEAVER DAM, KY, 423208963Browse KY providers · Browse ZIP 42320
- Phone
- 2702749222
- Primary Specialty
-
Psychiatric/Mental Health, Community CNS
364SP0808X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.