Individual
SHAWNA KERLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1301 WEST MAIN ST, MARION, IL 62959
(618) 997-5311
Mailing address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
043104604
IL
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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