person
Cheri W Kelly, PA
Medical Physician Assistant in Murphysboro, Illinois
NPI 1053469387

Cheri W Kelly is a Medical Physician Assistant based in Carterville, IL and is specialized in Medical. Cheri W Kelly practices in Murphysboro, IL and has the professional credentials of PA. The NPI Number for Cheri W Kelly is 1053469387 and holds a License No. 085001319 (Illinois).

The current practice location address for Cheri W Kelly is 7 S Hospital Dr, Murphysboro, IL and can be reached out via phone at 618-687-3418.

Location: 7 S Hospital Dr, Murphysboro, IL, 62918-0577
person
Provider Profile Details
NPI Number
1053469387
Provider Name
Cheri W Kelly
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
7 S Hospital Dr, Murphysboro, IL, 62918-0577
Phone Number
618-687-3418
Fax Number
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
370966854002 05 IL
CF3444 01 IL MEDICARE RR
370966854005 05 IL
132564 01 IL HEALTH ALLIANCE
085001319 01 IL STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
7 S Hospital Dr
City
State
Zip
62966-3333
Phone Number
618-687-3418
Fax Number
person
Provider Business Mailing Address Details
Address
7 S Hospital Dr
City
State
Zip
62966-3333
Phone Number
618-687-3418
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
085001319 (Illinois)
Definition
Definition to come...
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