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Individual
KRISTIN NICOLE KELLIM
Active
Individual
KRISTIN NICOLE KELLIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2008010372
MO
225100000X
Physical Therapist
070.017045
IL
225100000X
Physical Therapist
Primary
40993
CA
Other
Enumeration date
04/15/2008
Last updated
05/14/2026
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