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Dr. Kelly Goldsmith, DO
Student in an Organized Health Care Education/Training Program in Peoria, Illinois
NPI 1306468822

Kelly Goldsmith is a Student in an Organized Health Care Education/Training Program based in Peculiar, IL. Kelly Goldsmith practices in Peoria, IL and has the professional credentials of DO. The NPI Number for Kelly Goldsmith is 1306468822 and holds a License No. 125.076125 (Illinois).

The current practice location address for Kelly Goldsmith is 1 Illini Dr, Peoria, IL and can be reached out via phone at 858-444-7309.

Location: 1 Illini Dr, Peoria, IL, 64078-8792
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306468822
Provider Name
Kelly Goldsmith
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1 Illini Dr, Peoria, IL, 64078-8792
Phone Number
858-444-7309
Fax Number
Provider Enumeration Date
05/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Illini Dr
City
Peoria
State
Illinois
Zip
61605-2576
Phone Number
858-444-7309
Fax Number
person
Provider Business Mailing Address Details
Address
1 Illini Dr
City
Peoria
State
Illinois
Zip
61605-2576
Phone Number
858-444-7309
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.
125.076125 (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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