Individual provider · Type 1 NPI
Kelly Cotaleen Todd, PNP
Pediatric Nurse Practitioner · Walnut, IL
NPI number
1538656145
Active
Practice location
25340 1300 East St
Walnut, IL 61376-9274
Mailing address
2646 Park Ave
St. Louis, MO 63104-2024
Other practice locations
- 300 Longwood Ave, Boston, MA 02115-5724 · (617) 355-6000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | MCS006520B (MA) |
| Pediatric Nurse Practitioner | 363LP0200X | 2018004205 (MO) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 277001500 (IL) |
Pediatric Nurse Practitioner: Definition to come...
About NPI 1538656145
Kelly Cotaleen Todd, PNP's National Provider Identifier is 1538656145, issued on Apr 18, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Walnut, IL. The record was last updated on Aug 2, 2022.