Provider Demographics
NPI:1942761069
Name:SAYLER, KELCY FRANCIS (FNP-C)
Entity Type:Individual
Prefix:MISS
First Name:KELCY
Middle Name:FRANCIS
Last Name:SAYLER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MISS
Other - First Name:KELCY
Other - Middle Name:FRANCIS
Other - Last Name:SAYLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-C
Mailing Address - Street 1:2215 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-4403
Mailing Address - Country:US
Mailing Address - Phone:573-271-5317
Mailing Address - Fax:573-335-6724
Practice Address - Street 1:2001 N KINGSHIGHWAY ST
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63701-2127
Practice Address - Country:US
Practice Address - Phone:573-335-1999
Practice Address - Fax:573-335-1997
Is Sole Proprietor?:No
Enumeration Date:2019-03-29
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019009783363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO420072577Medicaid