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Individual

KELLI R HULL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
121 SOUTH MADISON STREET, MENTAL HEALTH CENTERS OF WESTERN ILLINOIS, PITTSFIELD, IL 62363
(217) 285-4436
(217) 285-2804
Mailing address
39040 COUNTRY HWY 2, GRIGGSVILLE, IL 62340
(217) 285-4436
(217) 285-2804

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
IL

Other

Enumeration date
04/26/2007
Last updated
07/08/2007
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