Individual
KELSEY MARIE LEVAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1304 BURNETT DR, TAYLORVILLE, IL 62568-9519
(217) 321-9310
(217) 692-2422
Mailing address
1304 BURNETT DR, TAYLORVILLE, IL 62568-9519
(217) 321-9310
(217) 692-2422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125072817
IL
Other
Enumeration date
06/21/2018
Last updated
12/28/2021
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