Individual
KELLI LYNN UTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61636-0001
(309) 655-2000
Mailing address
10427 E COUNTRY CLUB VW, EFFINGHAM, IL 62401-6307
(217) 994-6970
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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