Individual
DEBBIE L KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
185 W CITY LIMITS RD, BRIGHTON, IL 62012-2335
(618) 315-1387
Mailing address
325 ILLINOIS RT 2, DIXON, IL 61021-9118
(815) 284-6611
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277001669
IL
Other
Enumeration date
03/29/2011
Last updated
01/04/2024
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