Individual
KATHRYN KEELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
640 S WASHINGTON ST STE 350, NAPERVILLE, IL 60540-6785
(630) 717-2646
(630) 717-2613
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085002137
IL
363AM0700X
Medical Physician Assistant
085-002137
IL
Other
Enumeration date
02/12/2007
Last updated
07/24/2023
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