Individual
GIDGET KELLENBERGER
Active
Individual
GIDGET KELLENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041304217
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209007540
IL
Other
Enumeration date
01/15/2009
Last updated
07/31/2025
Update your record
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