person
Kelly M Whitaker, NP
Adult Health Nurse Practitioner in Mascoutah, Illinois
NPI 1386932028

Kelly M Whitaker is an Adult Health Nurse Practitioner based in Mascoutah, IL and is specialized in Adult Health. Kelly M Whitaker practices in Mascoutah, IL and has the professional credentials of NP. The NPI Number for Kelly M Whitaker is 1386932028 and holds a License No. 277.000945 (Illinois).

The current practice location address for Kelly M Whitaker is 124 W Main St, Mascoutah, IL and can be reached out via phone at 186-402-5572 and via fax at 636-333-4510.

Location: 124 W Main St, Mascoutah, IL, 62258-0303
person
Provider Profile Details
NPI Number
1386932028
Provider Name
Kelly M Whitaker
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
124 W Main St, Mascoutah, IL, 62258-0303
Phone Number
186-402-5572
Fax Number
636-333-4510
Provider Enumeration Date
07/15/2011
Last Update Date
12/14/2024
institution
Provider Business Practice Location Address Details
Address
124 W Main St
City
State
Zip
62258-2039
Phone Number
186-402-5572
Fax Number
636-333-4510
person
Provider Business Mailing Address Details
Address
124 W Main St
City
State
Zip
62258-2039
Phone Number
186-402-5572
Fax Number
636-333-4510
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
277.000945 (Illinois)
Definition
Definition to come...
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