KELSEY L KMIECIK

CHICAGO, IL
NPI1790023372
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: IL  209.010123)
Enumeration Date2013-01-16
Last Update Date2022-05-19
Business Address
KELSEY L KMIECIK NP
225 E CHICAGO AVE BOX 57
CHICAGO, IL 60611-2991
Phone number: 312-227-4030
Mailing Address
KELSEY L KMIECIK NP
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number: