DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KELCY MARIE CARLSON PMHNP-BC

MEDICARE: KELCY MARIE CARLSON PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner209023657IL

General Provider Information

NPI Number : 1124792288
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELCY MARIE CARLSON PMHNP-BC
Provider Business Mailing Address
First Line : 2900 ILLINOIS ROUTE 15
Second Line :
City : ELLERY
State : IL
Zip : 62833-4409
Country : US
Telephone Number : 618-302-3199
Fax Number :
Provider Business Practice Location Address
First Line : 363 N WEST ST
Second Line :
City : OLNEY
State : IL
Zip : 62450-1160
Country : US
Telephone Number : 618-392-9400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2021
Last Update Date : 08/03/2021

Similar Medicare Providers

1306770896 — COURTNEY E HUNT
Practice Location Address:
363 N WEST ST
OLNEY, IL
62450-1160
Practice Phone: 618-392-9400
Practice Fax:
1457079006 — RACHEL CLOW CPNP-PC
Practice Location Address:
363 N WEST ST
OLNEY, IL
62450-1160
Practice Phone: 618-392-9400
Practice Fax:
1497135065 — TANNER M MILLER M.D.
Practice Location Address:
363 N WEST ST
OLNEY, IL
62450-1160
Practice Phone: 618-392-9400
Practice Fax: 618-395-2131
1942792726 — PAIGE BREANNE CLAYTON MD
Practice Location Address:
363 N WEST ST
OLNEY, IL
62450-1160
Practice Phone: 618-392-9400
Practice Fax: 618-395-2131
1205479961 — MYRANDA GREENWOOD NP
Practice Location Address:
363 N WEST ST
OLNEY, IL
62450-1160
Practice Phone: 618-392-1140
Practice Fax: 618-392-4778
1972210995 — MACKENZIE THOMPSON
Practice Location Address:
363 N WEST ST
OLNEY, IL
62450-1160
Practice Phone: 618-392-9400
Practice Fax:

Directions to “ KELCY MARIE CARLSON PMHNP-BC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.