Individual
KELLI KEMNETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2610 W RICHWOODS BLVD, PEORIA, IL 61604-7112
(309) 323-6600
Mailing address
1207 E ROUSE AVE, PEORIA HEIGHTS, IL 61616-7713
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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