Individual
DR. KELLY ANNE KLOCEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2000 EOFF ST, WHEELING, WV 26003-3823
(304) 234-8177
Mailing address
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
(815) 971-7000
(815) 968-4795
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036.158033
IL
207P00000X
Emergency Medicine Physician
Primary
17036
WV
207P00000X
Emergency Medicine Physician
58-003772
OH
Other
Enumeration date
12/16/2010
Last updated
07/01/2026
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