Individual provider · Type 1 NPI

Kelly Witalka

Registered Nurse · Peru, IL

NPI number 1275445587 Active

Practice location

4461 Progress Blvd
Peru, IL 61354-1109

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X041444592 (IL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1275445587

Kelly Witalka's National Provider Identifier is 1275445587, issued on Sep 21, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Peru, IL. The record was last updated on Sep 21, 2026.