Individual
KELSEY ELIZABETH FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
207 LANDMARK DR STE A, NORMAL, IL 61761-3195
(309) 268-3200
Mailing address
8417 EDGEWATER DR, CARLOCK, IL 61725-9668
(309) 287-4869
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.007261
IL
Other
Enumeration date
09/16/2019
Last updated
03/24/2025
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