Individual
KELLY CHRISTINE PUENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1001 MAIN ST, PEORIA, IL 61606-1907
(309) 672-5522
Mailing address
705 CRESTVIEW DR, WASHINGTON, IL 61571-1604
(309) 713-6702
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209-030609
IL
363LG0600X
Gerontology Nurse Practitioner
209-030609
IL
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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