NATHAN EUGENE KELLENBERGER

PEORIA, IL
NPI1720798341
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.026515)
Enumeration Date2022-12-05
Last Update Date2022-12-05
Business Address
NATHAN EUGENE KELLENBERGER APRN-C
5114 N GLEN PARK PLACE RD
PEORIA, IL 61614-4686
Phone number: 309-655-2431
Mailing Address
NATHAN EUGENE KELLENBERGER APRN-C
5114 N GLEN PARK PLACE RD
PEORIA, IL 61614-4686
Phone number: 309-655-2431
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