Organization · Type 2 NPI
Jody L. Kelly M.d. & Associates, LLC
Specialist · Peoria, IL
NPI number
1881610475
Active
Practice location
5401 N. Knoxville Ave., Suite 300
Peoria, IL 61614-5021
Fax (309) 692-0746
Mailing address
2901 N. Knoxville Ave.
Peoria, IL 61603-1747
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1881610475
Jody L. Kelly M.d. & Associates, LLC's National Provider Identifier is 1881610475, issued on Jul 15, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Peoria, IL. The record was last updated on Dec 20, 2011.