Individual
MRS. KELLY A BRAMLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
430 PENNSYLVANIA AVE STE 330, GLEN ELLYN, IL 60137-4464
(630) 545-7576
(630) 545-7839
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-003118
IL
363AM0700X
Medical Physician Assistant
085003118
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085003118
PA LICENSE
—
Enumeration date
07/24/2008
Last updated
09/29/2025
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