STEPHANIE KELLY

FAIRVIEW HEIGHTS, IL
NPI1770240897
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.020881)
Enumeration Date2021-11-23
Last Update Date2021-11-23
Business Address
STEPHANIE KELLY FNP-C
5023 N ILLINOIS ST
FAIRVIEW HEIGHTS, IL 62208-3453
Phone number: 618-239-0678
Mailing Address
STEPHANIE KELLY FNP-C
5023 N ILLINOIS ST
FAIRVIEW HEIGHTS, IL 62208-3453
Phone number: 618-239-0678