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1568695799
COLLEEN E KELLY
SPRINGFIELD, IL
NPI
1568695799
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085003555)
Enumeration Date
2009-09-04
Last Update Date
2022-12-20
Business Address
COLLEEN E KELLY PA
319 E MADISON ST FL 2
SPRINGFIELD, IL 62701-1035
Phone number: 217-545-8000
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Mailing Address
COLLEEN E KELLY PA
201 E MADISON ST STE 328
SPRINGFIELD, IL 62702-5131
Phone number: 217-545-8000
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