Kelly Blickhan, is a
Registered Nurse based in Fairway, Kansas. Kelly Blickhan is licensed to practice in Kansas (license number 14-167324-121) and her current practice location is
4100 W 59th St, Fairway, Kansas. She can be reached at her office (for appointments etc.) via phone at
(833) 278-7770.
NPI number for Kelly Blickhan is 1861357162 and her current mailing address is 4100 W 59th St, Fairway, Kansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861357162.
Provider's Profile
| Full Name | Kelly Blickhan |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 4100 W 59th St, Fairway, Kansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861357162
- Provider Enumeration Date: 12/18/2025
- Last Update Date: 12/18/2025
Medical Identifiers
Medical identifiers for Kelly Blickhan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1861357162 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 14-167324-121 (Kansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Blickhan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kelly Blickhan, 4100 W 59th St, Fairway, KS 66205-3102 Ph: () - | Kelly Blickhan, 4100 W 59th St, Fairway, KS 66205-3102 Ph: (833) 278-7770 |
Reviews and Comments