Individual
MRS. KEENA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASE MANAGER
Contact information
Practice address
4355 WEST 182ND PLACE, COUNTRY CLUB HILLS, IL 60478
(312) 636-0116
(708) 914-4012
Mailing address
4355 WEST 182ND PLACE, COUNTRY CLUB HILLS, IL 60478
(312) 636-0116
(708) 914-4012
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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