Individual
KELSEY KAY PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1000 N ALLEN ST, ROBINSON, IL 62454-1114
(618) 544-3131
Mailing address
10551 E 680TH AVE, ROBINSON, IL 62454-6367
(309) 202-1898
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209023556
IL
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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