Individual
MS. KELLY J DUNCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
19W253 GINGER BROOK DR N, OAK BROOK, IL 60523-1094
(630) 670-2861
Mailing address
19W253 GINGER BROOK DR N, OAK BROOK, IL 60523-1094
(630) 670-2861
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.010239
IL
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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