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Individual

MRS. KELSEY GODAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, RN

Contact information

Practice address
2328 ALUMNI HALL CAMPUS BOX 1066, EDWARDSVILLE, IL 62026-0001
(618) 650-3495
Mailing address
2328 ALUMNI HALL CAMPUS BOX 1066, EDWARDSVILLE, IL 62026-0001
(618) 650-3495

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041393073
IL
163W00000X
Registered Nurse
2010022276
MO

Other

Enumeration date
03/26/2025
Last updated
03/26/2025
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