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Individual
KATHERINE KELLEY
Active
Individual
KATHERINE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036152534
IL
208600000X
Surgery Physician
1149
WI
208600000X
Surgery Physician
MC-048
GU
2086S0102X
Surgical Critical Care Physician
036152534
IL
2086S0102X
Surgical Critical Care Physician
D0086537
MD
2086S0102X
Surgical Critical Care Physician
MC-048
GU
2086S0127X
Trauma Surgery Physician
036152534
IL
2086S0127X
Trauma Surgery Physician
Primary
MD471120
PA
Other
Enumeration date
04/16/2013
Last updated
02/03/2026
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