Individual
JENNIFER LYNN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1201 S MAIN ST, CROWN POINT, IN 46307-8481
(219) 738-2100
(219) 933-2288
Mailing address
300 RANDALL RD, GENEVA, IL 60134-4200
(630) 933-4700
(630) 933-4427
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.137522
IL
208M00000X
Hospitalist Physician
Primary
02006177A
IN
208M00000X
Hospitalist Physician
036.137522
IL
Other
Enumeration date
05/10/2012
Last updated
12/13/2021
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