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NPI Profile for Dr KAREN KELLY in EDWARDSVILLE, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Administrator |
163WA2000X |
| NPI # | 1396978441 |
|
| Status | Active | |
| Credentials | EDD, RN, NEA-BC | |
| Entity | Individual | |
| Enumeration date | 08/24/2009 | |
| Last updated | 08/24/2009 - About 17 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KAREN KELLY
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