KELSEY A WALLACE

SPRINGFIELD, IL
NPI1013576990
Former NameKELSEY A GASS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209019523)
Enumeration Date2019-06-13
Last Update Date2019-06-17
Business Address
KELSEY A WALLACE CRNA
701 N 1ST ST
SPRINGFIELD, IL 62781-0001
Phone number: 217-788-3000
Mailing Address
KELSEY A WALLACE CRNA
PO BOX 3428
SPRINGFIELD, IL 62708-3428
Phone number: 217-588-2624
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