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1598219263 NPI number — MRS. KELSEY EVELYN PILLOW

NPI Number: 1598219263
Health Care Provider/Practitioner: MRS. KELSEY EVELYN PILLOW

Information about “1598219263” NPI (MRS. KELSEY EVELYN PILLOW) exists in 1598219263 in HTML format HTML  |  1598219263 in plain Text format TXT  |  1598219263 in PDF (Portable Document Format) PDF  |  1598219263 in an XML format XML  formats.

NPI Number : 1598219263 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598219263",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PILLOW",
    "FirstName": "KELSEY",
    "MiddleName": "EVELYN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GREGORY",
    "OtherFirstName": "KELSEY",
    "OtherMiddleName": "EVELYN",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 802843",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KANSAS CITY",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "64180-2843",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "417-730-6430",
    "MailingAddressFaxNumber": "417-269-7567",
    "FirstLinePracticeLocationAddress": "1401 HWY 65 NORTH SUITE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HARRISON",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72601-2236",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "707-439-7448",
    "PracticeLocationAddressFaxNumber": "870-743-9746",
    "EnumerationDate": "08/10/2016",
    "LastUpdateDate": "10/13/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "A004874",
          "LicenseNumberStateCode": "AR",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "2022002855",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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