Kelly Blickhan

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

14-167324-121 Issued in KS

Practice address

4100 W 59TH St
Fairway, KS 66205-3102

Phone

(833) 278-7770

NPI assigned

Dec 18, 2025

Last updated

Dec 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1766016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1861357162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W 59TH ST",
            "city": "FAIRWAY",
            "state": "KS",
            "postal_code": "662053102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W 59TH ST",
            "city": "FAIRWAY",
            "state": "KS",
            "postal_code": "662053102",
            "telephone_number": "833-278-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLICKHAN",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "14-167324-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aime Andrade, RDH
• Elizabeth Bandy, RN
• Lynn B Barnett, LCSW
• Robert M Beatty, M.D.
• Blair Ginn Bienasz, LOTR
• Arlin Bohn, LSCSW
• Elizabeth Breedlove, LMSW
• Sarah Brent, D.D.S.
• Amanda Brunette
• Mark A Bunde, O.D.

• Registered Nurse in Fairway, KS
• Providers in Fairway, KS by specialty
• Registered Nurse in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.