Individual
DAWN M KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
427 UNION HILL RD, FAIRVIEW HEIGHTS, IL 62208-2536
(618) 978-1999
Mailing address
427 UNION HILL RD, FAIRVIEW HEIGHTS, IL 62208-2536
(618) 978-1999
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.009854
IL
225X00000X
Occupational Therapist
Primary
2000161357
MO
Other
Enumeration date
03/13/2007
Last updated
06/13/2013
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