Individual provider · Type 1 NPI
William Thomas Kelly Iii, DNP, RN, APN, AGACNP
Acute Care Nurse Practitioner · Maywood, IL
NPI number
1215428156
Active
Practice location
2160 S 1st Ave
Maywood, IL 60153-3328
Mailing address
1122 W Catalpa Ave Apt 605
Chicago, IL 60640-7084
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 209.017727 (IL) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1215428156
William Thomas Kelly Iii, DNP, RN, APN, AGACNP's National Provider Identifier is 1215428156, issued on May 26, 2018. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Maywood, IL. The record was last updated on May 26, 2018.