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Keely Reece Theobald, BS
Student in an Organized Health Care Education/Training Program in Charleston, Illinois
NPI 1326663683

Keely Reece Theobald is a Student in an Organized Health Care Education/Training Program based in Charleston, IL. Keely Reece Theobald practices in Charleston, IL and has the professional credentials of BS. The NPI Number for Keely Reece Theobald is 1326663683 and holds a License No. (Illinois).

The current practice location address for Keely Reece Theobald is 2086 7Th Street, Charleston, IL and can be reached out via phone at 217-581-2712.

Location: 2086 7Th Street, Charleston, IL, 61920
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326663683
Provider Name
Keely Reece Theobald
Credential
BS
Provider Entity Type
Individual
Gender
Female
Address
2086 7Th Street, Charleston, IL, 61920
Phone Number
217-581-2712
Fax Number
Provider Enumeration Date
06/12/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2086 7Th Street
City
Charleston
State
Illinois
Zip
61920
Phone Number
217-581-2712
Fax Number
person
Provider Business Mailing Address Details
Address
2086 7Th Street
City
Charleston
State
Illinois
Zip
61920
Phone Number
217-581-2712
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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