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Kelli Lynn Utz
Student in an Organized Health Care Education/Training Program in Peoria, Illinois
NPI 1275228496

Kelli Lynn Utz is a Student in an Organized Health Care Education/Training Program based in Effingham, IL. Kelli Lynn Utz practices in Peoria, IL. The NPI Number for Kelli Lynn Utz is 1275228496 and holds a License No. (Illinois).

The current practice location address for Kelli Lynn Utz is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-655-2000.

Location: 530 Ne Glen Oak Ave, Peoria, IL, 62401-6307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275228496
Provider Name
Kelli Lynn Utz
Credential
Provider Entity Type
Individual
Gender
Female
Address
530 Ne Glen Oak Ave, Peoria, IL, 62401-6307
Phone Number
309-655-2000
Fax Number
Provider Enumeration Date
04/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61636-0001
Phone Number
309-655-2000
Fax Number
person
Provider Business Mailing Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61636-0001
Phone Number
309-655-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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