NPI 1053666792 CHRISTY KELLEY N.P MOUNT VERNON IL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Christy Kelley - NPI: 1053666792

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: CHRISTY KELLEY
NPI Number: 1053666792
Entity Type Code: Individual (1)
Gender: F
Credentials: N.P
License Number: 209009607
Business Practice Address: 205 East Huron St.
Irvington, IL - 62848
Business Phone Number: 6182496203
Business Fax Number: 6182496263
Mailing Address: 19841 N Iris Ln,
MOUNT VERNON
State: IL
Postal Code: 628648832
Phone Number: 6183150153
Fax Number:
NPI Enumeration Date: 07/18/2012
NPI Last Update Date: 07/18/2012
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363LF0000X
License Number: 209009607
Healthcare Provider Taxonomy:
(Secondary)
Y
State: IL
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Nurse Practitioner
Taxonomy Specialization: Family
Taxonomy Definition:


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