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Contact Information

KELLIE M KOZLOWSKI, PMHNP-BC
1916 NORTH MAIN STREET
PRINCETON, IL61356
 Phone: 815-915-8748
 Fax: 815-664-0508
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KELLIE M KOZLOWSKI · (Female)

NPI Number 1588164610
Status Active
Credentials PMHNP-BC (Adult Psychiatric-Mental Health Nurse Practitioner)
Entity Individual
Enumeration date 02/15/2018
Last updated 01/17/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 209.017042
  • IL License # 209017042
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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