Kelly D Sikes, CPHT
Individual provider Active NPI Pharmacy Technician · Strawberry Plains, TN
NPI 1992320097 · NPPES record last updated Jun 15, 2020
Key facts
- NPI
- 1992320097
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 0000018148 (TN)
- Practice address
- 524 Andrew Johnson Hwy
Strawberry Plains, TN 37871-1015 - Phone
- (865) 933-4149
- Fax
- (865) 933-4037
- NPI assigned
- Jun 15, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000018148 | TN | MD | Pharmacy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 0000018148 | TN | Yes |
Addresses
Primary practice location
524 Andrew Johnson Hwy
Strawberry Plains, TN 37871-1015
Mailing address
524 Andrew Johnson Hwy
Strawberry Plains, TN 37871-1015
Phone (865) 933-4149
Other providers in Strawberry Plains, TN
- His Hands Health Care
- Alyssa Rose Park
- Paige Rayfield
- Deidra Rose Rudder
- Megan Leann Shiverdecker
- Grant Wallen
- Sara Bertha Williar
All providers in Strawberry Plains, TN · Pharmacy Technician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.