Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kendra Mickelson

Individual provider Skilled Nursing Facility · NPI 1992158356

Kendra Mickelson is a Skilled Nursing Facility in Eureka, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2016
Specialties on file
2

Practice location Address checks out

700 N Main St
Eureka, IL 61530-1085
Phone: (309) 467-9094
Fax: (309) 467-9011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 0042424 (IL)
Skilled Nursing Facility Taxonomy 314000000X · Licence 1694647 (IL)

Record details

NPI number1992158356
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 20, 2016
Last updated in NPPESJuly 20, 2016
Mailing address700 N Main St, Eureka, IL 61530-1085

Other providers in Eureka