Kelsey Wickenhauser, PA
Kelsey Wickenhauser, PA is a Physician Assistant in Godfrey, Illinois. Qualified in 2012, 14 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.
- Years since qualifying
- 14
- Licensed in
- IL, MO
- In the registry since
- 2012
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
1368 Dadrian Professional ParkGodfrey, IL 62035-1685
Phone: (309) 530-9841
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 085 005 018 (IL) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 2012037422 (MO) |
Record details
| NPI number | 1972849321 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | December 12, 2012 |
| Last updated in NPPES | May 13, 2014 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Osf Multi-Specialty Group — 2128 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Godfrey
-
Lucas Edwards
6702 Godfrey Rd, Godfrey, IL 62035-2205 · (618) 467-1540
-
Morgan Peters, PA-C
6702 Godfrey Rd, Godfrey, IL 62035-2205 · (618) 467-1520
-
Jessica N Stricklin, PA-C
5213 Godfrey Rd Ste 110, Godfrey, IL 62035-2510 · (618) 619-3330