Individual
KELSEY MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1297 FRANKLIN ST, CARLYLE, IL 62231-1718
(618) 227-7229
Mailing address
1307 E MCCORD ST, CENTRALIA, IL 62801-3610
(618) 899-9200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209023921
IL
Other
Enumeration date
12/27/2021
Last updated
09/10/2024
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