Basic Information
Provider Information
NPI: 1629246111
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HMELO
FirstName: KARI
MiddleName: ELLEN
NamePrefix:  
NameSuffix:  
Credential: RN, ACNP,APRN,BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 512
Address2:  
City: STILWELL
State: KS
PostalCode: 660850512
CountryCode: US
TelephoneNumber: 7133442401
FaxNumber: 7133449420
Practice Location
Address1: 4220 HARDING PIKE
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372052005
CountryCode: US
TelephoneNumber: 6152226977
FaxNumber: 6152225322
Other Information
ProviderEnumerationDate: 02/19/2008
LastUpdateDate: 11/19/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XAPN13160TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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