Individual
KATHERINE ROSE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP FNP
Contact information
Practice address
1725 W HARRISON ST STE 158, CHICAGO, IL 60612-3841
(312) 942-8910
Mailing address
916 W WILLOW ST APT 4, CHICAGO, IL 60614-5365
(602) 391-8210
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209030898
IL
Other
Enumeration date
10/03/2024
Last updated
12/02/2024
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