Healthcare Provider Details
I. General information
NPI: 1942761069
Provider Name (Legal Business Name): KELCY FRANCIS SAYLER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/29/2019
Last Update Date: 08/31/2023
Certification Date: 08/31/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2001 N KINGSHIGHWAY ST
CAPE GIRARDEAU MO
63701-2127
US
IV. Provider business mailing address
2215 BROADWAY ST
CAPE GIRARDEAU MO
63701-4403
US
V. Phone/Fax
- Phone: 573-335-1999
- Fax: 573-335-1997
- Phone: 573-271-5317
- Fax: 573-335-6724
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 2019009783 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: