Individual
KELLEY ANN KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN PEL-CSN
Contact information
Practice address
601 WILLOW ST, FRANKFORT, IL 60423-1140
(815) 806-4686
Mailing address
910 W TERRACE DR, GLENWOOD, IL 60425-1322
(708) 856-9530
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
041256604
IL
163WS0200X
School Registered Nurse
Primary
041256604
IL
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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