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Contact Information

HOLLIE A KELLY
905 E MAIN ST
OLNEY, IL62450-2623
 Phone: 618-393-7732
 Fax: 618-395-3123
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

163WP0200X
Indicates primary specialty

NPI Profile & details for HOLLIE A KELLY · (Female)

NPI # 1295036275
Status Active
Credentials
Entity Individual
Enumeration date 11/08/2010
Last updated 11/08/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 041233726
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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