NPI Profile for MADELYNN A KALLEMBACH in MONTICELLO, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Sports Medicine |
2083S0010X | 84 | Physician/Preventive Medicine |
| NPI Number | 1861130346 |
|
| Status | Active | |
| Credentials | ATC | |
| Entity | Individual | |
| Enumeration date | 05/24/2022 | |
| Last updated | 06/06/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MADELYNN A KALLEMBACH
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