GIDGET KELLENBERGER

PEORIA, IL
NPI1619114493
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209007540)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IL  041304217)
Enumeration Date2009-01-15
Last Update Date2025-07-31
Business Address
GIDGET KELLENBERGER
7309 N KNOXVILLE AVE
PEORIA, IL 61614-2085
Phone number: 217-528-7541
Mailing Address
GIDGET KELLENBERGER
PO BOX 19248
SPRINGFIELD, IL 62794-9248
Phone number: 217-528-7541