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Individual
KELLI FORSYTH MILLICAN
Active
Individual
KELLI FORSYTH MILLICAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085006375
IL
363AM0700X
Medical Physician Assistant
085006375
NULL
363AS0400X
Surgical Physician Assistant
085006375
IL
363AS0400X
Surgical Physician Assistant
Primary
C0009685
MD
Other
Enumeration date
10/04/2017
Last updated
10/15/2025
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