Individual
HOLLY ELIZABETH KELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1909 N MORTON AVE, MORTON, IL 61550-1426
(309) 263-9124
Mailing address
2510 N WILSON DR, PEORIA, IL 61604-2465
(309) 242-0739
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209019726
IL
363LP2300X
Primary Care Nurse Practitioner
209019726
IL
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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