Individual
KELLY RANAE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2500 W HIGGINS RD STE 1040, HOFFMAN ESTATES, IL 60169-2049
(847) 884-8096
(847) 884-8125
Mailing address
2500 W HIGGINS RD STE 1040, HOFFMAN ESTATES, IL 60169-2049
(847) 884-8096
(847) 884-8125
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209023957
IL
363LF0000X
Family Nurse Practitioner
A165295
IA
Other
Enumeration date
08/25/2021
Last updated
08/18/2023
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