Individual
KAYLEE CHANTEL STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
Mailing address
804 E LOCUST ST, CANTON, IL 61520-2150
(309) 224-7070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209015635
IL
363LN0000X
Neonatal Nurse Practitioner
Primary
209015635
IL
Other
Enumeration date
02/21/2017
Last updated
02/25/2026
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