Individual
KELSEY L PROEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
21660 W FIELD PKWY, DEER PARK, IL 60010-7265
(888) 803-3370
Mailing address
2894 SAND OAK LOOP, APOPKA, FL 32712-1438
(517) 202-0836
(517) 202-0836
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
277.00235
IL
363LF0000X
Family Nurse Practitioner
61331449
WA
363LF0000X
Family Nurse Practitioner
95036398
CA
Other
Enumeration date
01/08/2020
Last updated
07/31/2025
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