Individual
KIMBERLY LAUREN NELCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3313
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2529
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005725
IL
363AM0700X
Medical Physician Assistant
23.003285
CT
Other
Enumeration date
02/25/2015
Last updated
05/31/2024
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