Organization
JODY L. KELLY M.D. & ASSOCIATES, LLC
Active
Other names
Jody L. Kelly M.D. & Associates, LLC - North
Organization subpart
No
Provider details
NPI number
Authorized official
SUZETTE M. LONG CPC, CPC-H (BILLING COORDINATOR)
(309) 688-7082
Entity
Organization
Contact information
Practice address
5401 N. KNOXVILLE AVE., SUITE 300, PEORIA, IL 61614-5021
(309) 692-4702
(309) 692-0746
Mailing address
2901 N. KNOXVILLE AVE., PEORIA, IL 61603-1747
(309) 688-7010
(309) 688-7044
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/15/2006
Last updated
12/20/2011
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