Kellie Elizabeth Flippin
Hematology & Oncology
1005 Broadway St
Quincy
, Illinois 62301-2834
Kellie Elizabeth Flippin
Hematology & Oncology
1005 Broadway St
Quincy
, Illinois 62301-2834
(217) 223-8400
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Kellie Elizabeth Flippin
- 1005 Broadway St
- Quincy, IL
- Zip : 62301-2834
- Phone : (217) 223-8400
Second Address
- Kellie Elizabeth Flippin
- 1005 Broadway St
- Quincy, IL
- Zip : 62301-2834
- Phone : (217) 223-8400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | 036156080 | IL |
| N | 207RH0003X | Hematology & Oncology | 98-01039 | NC |
| N | 207RH0003X | Hematology & Oncology | C55731 | CA |
| N | 207RH0003X | Hematology & Oncology | TL3420 | WY |
National Provider Identifier
| NPI | 1013193705 |
|---|---|
| Provider Name | Kellie Elizabeth Flippin |
| First Address | Quincy, IL 62301-2834 |
| Second Address | Quincy, IL 62301-2834 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/01/2008 |
| Last Update Date | 19/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1013193705 | (05) | VA |
| 206287 | MEDCOST (01) | NC |
| 5908517 | (05) | NC |
| PENDING | (05) | WY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.