Individual
MRS. KELLY ANN ADCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN MSN APN
Contact information
Practice address
900 MAIN ST, SUITE 320, PEORIA, IL 61602-1005
(309) 672-3140
(309) 672-3145
Mailing address
900 MAIN ST, SUITE 320, PEORIA, IL 61602-1005
(309) 672-3140
(309) 672-3145
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
—
IL
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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