Individual
DR. KELSEY MARIE LISIUS-BLAMOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
2730 CROW CREEK RD, BETTENDORF, IA 52722-2066
(309) 798-8468
Mailing address
PO BOX 735379, CHICAGO, IL 60673-5379
(309) 798-8468
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
H158753
IA
Other
Enumeration date
08/14/2019
Last updated
03/13/2024
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