Individual
KATHY S CELLETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
1301 S KOKE MILL RD, SPRINGFIELD, IL 62711-9252
(217) 547-9100
(217) 547-9247
Mailing address
PO BOX 9469, SPRINGFIELD, IL 62791-9469
(217) 547-9100
(217) 547-9247
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
041171243
IL
Other
Enumeration date
05/08/2008
Last updated
10/06/2009
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