KELLY JOHNSON

URBANA, IL
NPI1013254259
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  041308882)
Enumeration Date2013-01-08
Last Update Date2013-08-27
Business Address
-- KELLY JOHNSON
1818 E. WINDSOR ROAD
URBANA, IL 61802-9566
Phone number: 217-255-9670
Mailing Address
-- KELLY JOHNSON
PO BOX 6002
URBANA, IL 61803-6002
Phone number: 217-326-8630
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