Individual
KELSEY ELIZABETH GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
Mailing address
2703 N MISSION RD, PEORIA, IL 61604-2343
(618) 320-1321
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036173499
IL
Other
Enumeration date
06/14/2022
Last updated
04/29/2025
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