KELSEY JO CLARK

SPRINGFIELD, IL
NPI1518381896
Former NameKELSEY JO BEATY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209-011354)
Enumeration Date2014-02-07
Last Update Date2022-10-25
Business Address
Ms. KELSEY JO CLARK CRNA
701 N 1ST ST
SPRINGFIELD, IL 62781-5324
Phone number: 217-788-3000
Mailing Address
Ms. KELSEY JO CLARK CRNA
PO BOX 3428
SPRINGFIELD, IL 62708-3428
Phone number: 217-588-2624
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