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Kelly Mae Guzlas
Family Nurse Practitioner in Champaign, Illinois
NPI 1467858308

Kelly Mae Guzlas is a Family Nurse Practitioner based in Champaign, IL and is specialized in Family. Kelly Mae Guzlas practices in Champaign, IL. The NPI Number for Kelly Mae Guzlas is 1467858308 and holds a License No. 209.012016 (Illinois).

The current practice location address for Kelly Mae Guzlas is 3101 Fields South Dr, Champaign, IL and can be reached out via phone at 217-366-6162.

Location: 3101 Fields South Dr, Champaign, IL, 61820-3981
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467858308
Provider Name
Kelly Mae Guzlas
Credential
Provider Entity Type
Individual
Gender
Female
Address
3101 Fields South Dr, Champaign, IL, 61820-3981
Phone Number
217-366-6162
Fax Number
Provider Enumeration Date
11/04/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3101 Fields South Dr
City
Champaign
State
Illinois
Zip
61822-3743
Phone Number
217-366-6162
Fax Number
person
Provider Business Mailing Address Details
Address
3101 Fields South Dr
City
Champaign
State
Illinois
Zip
61822-3743
Phone Number
217-366-6162
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209.012016 (Illinois)
Definition
Definition to come...
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