Individual
DR. KAREN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD, RN, NEA-BC
Contact information
Practice address
CAMPUS BOX 1066, SOUTHERN ILLINOIS UNIVERSITY EDWARDSVILLE, EDWARDSVILLE, IL 62026-1066
(618) 650-3908
(618) 650-2522
Mailing address
CAMPUS BOX 1066, SOUTHERN ILLINOIS UNIVERSITY EDWARDSVILLE, EDWARDSVILLE, IL 62026-1066
(618) 650-3908
(618) 650-2522
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
041-144845
IL
163WA2000X
Administrator Registered Nurse
064395
MO
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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