Individual
LESLIE JEANNE KELTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
9301 WAUKEGAN RD, MORTON GROVE, IL 60053-1313
(866) 825-3227
Mailing address
161 WASHINGTON ST, EIGHT TOWER SUITE 1400, CONSHOHOCKEN, PA 19428-2083
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209009033
IL
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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