Individual
KAYLEE PURCELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 COUNTRY CLUB ESTS, SULLIVAN, IL 61951-6606
(217) 714-8341
Mailing address
19 COUNTRY CLUB ESTS, SULLIVAN, IL 61951-6606
(217) 714-8341
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
01/02/2024
Last updated
01/04/2024
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