Individual
DR. JOHN C KELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 S MAJOR ST, EUREKA, IL 61530-1246
(309) 467-2371
(309) 467-2963
Mailing address
101 S MAJOR ST, EUREKA, IL 61530-1246
(309) 467-2371
(309) 467-2963
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036100702
IL
207Q00000X
Family Medicine Physician
036100702
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100702
—
IL
Enumeration date
03/28/2006
Last updated
01/23/2013
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