Individual provider · Type 1 NPI
Christy Kelley, N.P
Family Nurse Practitioner · Irvington, IL
NPI number
1053666792
Active
Practice location
205 East Huron St.
Irvington, IL 62848
Fax (618) 249-6263
Mailing address
19841 N Iris Ln
Mount Vernon, IL 62864-8832
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209009607 (IL) |
Family Nurse Practitioner: Definition to come...
About NPI 1053666792
Christy Kelley, N.P's National Provider Identifier is 1053666792, issued on Jul 18, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Irvington, IL. The record was last updated on Jul 18, 2012.