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Individual

KELLI L HARKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
27W350 HIGH LAKE RD, WINFIELD, IL 60190-1262
(630) 933-4000
(630) 933-1933
Mailing address
27W350 HIGH LAKE RD, WINFIELD, IL 60190-1262
(630) 933-4000
(630) 933-1933

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209020754
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20807
SC BOARD OF NURSING
SC
01
5009278
NORTH CAROLINA BOARD OF NURSING/MEDICAL BOARD
NC
Enumeration date
02/08/2017
Last updated
07/23/2020
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