Individual
KELLY SKENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, CPNP-AC
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2600
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2600
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
209003574
IL
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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