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Kelly Renee Keller, SCHOOLNURSE
School Registered Nurse in Marion, Illinois
NPI 1487112918

Kelly Renee Keller is a School Registered Nurse based in Marion, IL and is specialized in School. Kelly Renee Keller practices in Marion, IL and has the professional credentials of SCHOOLNURSE. The NPI Number for Kelly Renee Keller is 1487112918 and holds a License No. 041309727 (Illinois).

The current practice location address for Kelly Renee Keller is 411 S Court St, Marion, IL and can be reached out via phone at 618-993-2138.

Location: 411 S Court St, Marion, IL, 62959-2711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487112918
Provider Name
Kelly Renee Keller
Credential
SCHOOLNURSE
Provider Entity Type
Individual
Gender
Female
Address
411 S Court St, Marion, IL, 62959-2711
Phone Number
618-993-2138
Fax Number
Provider Enumeration Date
03/04/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1902070642 05 IL
institution
Provider Business Practice Location Address Details
Address
411 S Court St
City
Marion
State
Illinois
Zip
62959-2711
Phone Number
618-993-2138
Fax Number
person
Provider Business Mailing Address Details
Address
411 S Court St
City
Marion
State
Illinois
Zip
62959-2711
Phone Number
618-993-2138
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
School
Taxonomy
163WS0200X
License No.
041309727 (Illinois)
Definition
Definition to come...
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