Individual
MRS. KELLIE MARIE KOZLOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1916 NORTH MAIN STREET, PRINCETON, IL 61356
(815) 915-8748
(815) 664-0508
Mailing address
1916 NORTH MAIN STREET, PRINCETON, IL 61356
(815) 915-8748
(815) 664-0508
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.017042
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209017042
IL
Other
Enumeration date
02/15/2018
Last updated
01/17/2025
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