Individual
MS. BARBARA J KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
624 S WALNUT ST, SPRINGFIELD, IL 62704-2518
(217) 960-1987
Mailing address
624 S WALNUT ST, SPRINGFIELD, IL 62704-2518
(217) 960-1987
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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