Individual
KELSI MARIE RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
Mailing address
405 E GOLDENROD DR, FLANAGAN, IL 61740-9114
(815) 992-8999
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209026947
IL
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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