Kelsey Thacker

NPI 1245765296 · on the registry since 2017

Practice

Address: 104 E Ashland Ave
Mt Zion, IL 62549
Phone: (217) 864-2665
Fax: (217) 864-8042
Organisation at this address: Sullivan & Sams Medical, Llc
Decatur Orthopedic Center, Llc
Decatur Orthopedic Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: Nurse Practitioner
363L00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-04-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois