Individual
KELLY JEAN KALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9401 HOLY CROSS LN STE 112, BREESE, IL 62230-3510
(618) 206-2082
Mailing address
9401 HOLY CROSS LN STE 112, BREESE, IL 62230-3510
(618) 206-2082
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
209013852
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
209013852
IL
Other
Enumeration date
02/22/2016
Last updated
02/15/2019
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