Individual
KELLY LYNN SYLVESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1128 RIVER BIRCH DR, O FALLON, IL 62269-6511
(619) 876-7560
Mailing address
1128 RIVER BIRCH DR, O FALLON, IL 62269-6511
(619) 876-7560
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
041327748
IL
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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