Mishmash, Kelly Lynn

Mishmash, Kelly Lynn is an individual health care provider with primary practice located at 1011 S Mount Carmel Pl , Pittsburg KS 66762-6604. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mishmash, Kelly Lynn can be contacted via phone (620) 670-6710.

Contact Information

Primary practice address
1011 S Mount Carmel Pl Pittsburg KS 66762-6604
Phone: (620) 670-6710
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 79453 Kansas
Nursing Service Providers / Registered Nurse 163W00000X 86657 Kansas
Nursing Service Providers / Registered Nurse 163W00000X 2017026463 Missouri

Profile Details

NPI number 1538780176
LBN Legal business name Mishmash, Kelly Lynn
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2020
Last updated Jun 14th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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