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Individual

KELLY S EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1414 CROSS ST STE 230, SHILOH, IL 62269-2988
(618) 607-1260
Mailing address
1414 CROSS ST STE 230, SHILOH, IL 62269-2988
(618) 607-1260

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209017964
IL

Other

Enumeration date
09/28/2018
Last updated
04/21/2023
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