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Individual
TARA A KELSEY
Active
Individual
TARA A KELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
209034783
IL
363LP2300X
Primary Care Nurse Practitioner
Primary
209034783
IL
Other
Enumeration date
03/04/2026
Last updated
07/31/2026
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