Individual
MRS. KELLY CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NPD-BC, CNOR
Contact information
Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5399
(630) 640-3014
Mailing address
1519 LAKETOP DR, FAIRVIEW HEIGHTS, IL 62208-1245
(630) 640-3014
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
041490351
IL
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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