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NPI Code Detail

MEDICARE: SHERRY LYNN KELCHEN A.R.N.P.

MEDICARE: SHERRY LYNN KELCHEN A.R.N.P.
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
1363L00000XNurse Practitioner099508IA

General Provider Information

NPI Number : 1477504124
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERRY LYNN KELCHEN A.R.N.P.
Provider Business Mailing Address
First Line : 1500 ASSOCIATES DR
Second Line :
City : DUBUQUE
State : IA
Zip : 52002-2201
Country : US
Telephone Number : 563-584-4100
Fax Number : 563-584-4110
Provider Business Practice Location Address
First Line : 805 JOHNSON ST SW
Second Line :
City : CASCADE
State : IA
Zip : 52033-8636
Country : US
Telephone Number : 563-852-7756
Fax Number : 563-852-7759
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 08/31/2010

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