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MRS. KELLSEY R THOLE NP NPI 1407397862


NPI Information

NPI: 1407397862
Provider Name: MRS. KELLSEY R THOLE, NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
THREE SAINT ELIZABETH BLVD STE 2800
O FALLON, IL
ZIP 62269
Phone: (618) 233-6044
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MRS. Kellsey R Thole, NP is a gerontology nurse practitioner in O Fallon, IL with 8 years of experience. MRS. Kellsey R Thole, NP NPI is 1407397862. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

THREE SAINT ELIZABETH BLVD STE 2800
O FALLON, IL
ZIP 62269-282
Phone: (618) 233-6044
Fax: (833) 973-4218

The NPI 1407397862 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/17/2017 and was last updated on 12/20/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease209.015758ILLINOISNo
2363LG0600XNurse PractitionerGerontology209.015758ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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