KELLY R WALTER

DECATUR, IL
NPI1447196183
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  041.370135)
Enumeration Date2026-04-27
Last Update Date2026-04-27
Business Address
KELLY R WALTER
4662 DOGWOOD CT
DECATUR, IL 62526-9326
Phone number: 217-413-7519
Mailing Address
KELLY R WALTER
4662 DOGWOOD CT
DECATUR, IL 62526-9326
Phone number: 217-413-7519
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