Individual
MRS. KELLEY JO HUMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
428 S 36TH ST, QUINCY, IL 62301-5924
(217) 224-6300
(217) 224-4329
Mailing address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
(618) 326-2772
(618) 937-1440
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.100280
IL
164W00000X
Licensed Practical Nurse
Primary
—
IL
Other
Enumeration date
12/31/2007
Last updated
04/09/2026
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