Individual
DR. KELLY L COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
(217) 223-9945
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
(217) 223-9945
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036106270
IL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
036106270
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00110123
BLUE SHIELD
IL
05
—
036106270
—
IL
Enumeration date
04/13/2007
Last updated
12/18/2024
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