Individual
DR. MOLLY MAE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2202 HARLEM RD STE 200, LOVES PARK, IL 61111-2754
(815) 877-4848
(815) 636-6125
Mailing address
2202 HARLEM RD STE 200, LOVES PARK, IL 61111-2754
(815) 877-4848
(815) 636-6125
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036130382
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036130382
—
IL
Enumeration date
06/17/2008
Last updated
08/16/2018
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