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Kendra Mickelson
NPI 1992158356 · on the registry since 2016 · sole proprietor
Practice
- Address
- 700 N Main St
Eureka, IL 61530 - Phone
- (309) 467-9094
- Fax
- (309) 467-9011
- Organisation at this address
- Maple Lawn Homes Inc.
Maple Lawn Health Center
The Loft Rehabilitation And Nursing LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Skilled Nursing Facility
314000000X
- Also registered as
- Skilled Nursing Facility
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-07-20
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