NPI 1205210143 JOAN KELLEY MINOOKA IL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Joan Kelley - NPI: 1205210143

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: JOAN KELLEY
NPI Number: 1205210143
Entity Type Code: Individual (1)
Gender: F
Credentials:
License Number: 209012858
Business Practice Address: 309 Rivers Edge Dr
Minooka, IL - 604479397
Business Phone Number: 8157351408
Business Fax Number:
Mailing Address: 309 Rivers Edge Dr,
MINOOKA
State: IL
Postal Code: 604479397
Phone Number: 8157351408
Fax Number:
NPI Enumeration Date: 07/09/2015
NPI Last Update Date: 07/09/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363LF0000X
License Number: 209012858
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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