Individual
KELLEY L GREWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1000 HEALTH CENTER DR STE 201, MATTOON, IL 61938-4639
(217) 258-4030
(217) 258-2353
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
(217) 868-2812
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.027905
IL
Other
Enumeration date
08/01/2023
Last updated
09/28/2023
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