Individual provider · Type 1 NPI
Karen Kelly, EDD, RN, NEA-BC
Administrator Registered Nurse · Edwardsville, IL
NPI number
1396978441
Active
Practice location
Campus Box 1066, Southern Illinois University Edwardsville
Edwardsville, IL 62026-1066
Fax (618) 650-2522
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 041-144845 (IL) |
| Administrator Registered Nurse | 163WA2000X | 064395 (MO) |
Administrator Registered Nurse: Definition to come...
About NPI 1396978441
Karen Kelly, EDD, RN, NEA-BC's National Provider Identifier is 1396978441, issued on Aug 24, 2009. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Edwardsville, IL. The record was last updated on Aug 24, 2009.