Kelli Marie Mikolosko is a Allentown, Pennsylvania based nurse anesthetist who is specialized as Nurse Anesthetist nurse. Active license number of Kelli Marie Mikolosko is 082609 for Anesthesia Administration in Pennsylvania. Her current practice location is 1200 S Cedar Crest Blvd, Allentown. Patients can reach her at 610-402-9099 or can fax her at 610-402-9029. Kelli Marie Mikolosko is CRNA with specialization in Nurse Anesthetist and she NPI number (Unique professional ID assigned by NPPES) is 1417184268. Kelli Marie Mikolosko is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Kelli Marie Mikolosko speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Nurse Anesthetist
Credentials:
CRNA
Gender:
Female
Practice Address:
1200 S Cedar Crest Blvd, Allentown, Pennsylvania, 18103-6202
Phone:
610-402-9099
Fax:
610-402-9029
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1417184268
NPI Enumeration Date:
19 Jun, 2009
NPI Last Update On:
25 Mar, 2013
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelli Marie Mikolosko are as mentioned below.
License Number
Specialization
State
Status
082609
Anesthesia Administration
Pennsylvania
Primary
RN-564095
Registered Nurse
Pennsylvania
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Kelli Marie Mikolosko such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1027800840001
Medicaid
Pennsylvania
2112787
Other
Pennsylvania
HIGHMARK
1585159
Other
Pennsylvania
GATEWAY
3723133000
Other
Pennsylvania
IBC
50086413
Other
Pennsylvania
CAPITAL ADVANTAGE
11976788
Other
Pennsylvania
CAQH
127848
Other
Pennsylvania
GEISINGER
2112787
Other
Pennsylvania
FIRST PRIORITY
9769481
Other
Pennsylvania
AETNA
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1245 S Cedar Crest Blvd Ste 301, Allentown, Pennsylvania
Zip:
18103-6258
Phone Number:
610-402-9099
Fax Number:
610-402-9029
Patients can reach Kelli Marie Mikolosko at 1200 S Cedar Crest Blvd, Allentown, Pennsylvania or can call to book an appointment on 610-402-9099.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.