Individual
MELISSA LYNN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9555 S 52ND AVE, OAK LAWN, IL 60453-3054
(708) 634-0950
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041471415
IL
363L00000X
Nurse Practitioner
Primary
209-030332
IL
363LF0000X
Family Nurse Practitioner
209030332
IL
Other
Enumeration date
04/02/2024
Last updated
09/12/2024
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