Individual
HILLARY MARIA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
15909 PIN HOOK AVE, PETERSBURG, IL 62675-6670
(217) 671-9635
Mailing address
15909 PIN HOOK AVE, PETERSBURG, IL 62675-6670
(217) 671-9635
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-311402
IL
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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