Individual
PROF. TARA A KELSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
2265 W ALTORFER DR, PEORIA, IL 61615-1807
(309) 683-7703
Mailing address
2265 W ALTORFER DR, PEORIA, IL 61615-1807
(309) 683-7703
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
209034783
IL
Other
Enumeration date
03/04/2026
Last updated
04/28/2026
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