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Ms. Kelly Cotaleen Todd, PNP
Pediatric Nurse Practitioner in Walnut, Illinois
NPI 1538656145

Kelly Cotaleen Todd is a Pediatric Nurse Practitioner based in Saint Louis, IL and is specialized in Pediatrics. Kelly Cotaleen Todd practices in Walnut, IL and has the professional credentials of PNP. The NPI Number for Kelly Cotaleen Todd is 1538656145 and holds a License No. MCS006520B (Illinois).

The current practice location address for Kelly Cotaleen Todd is 25340 1300 East St, Walnut, IL and can be reached out via phone at 815-310-6222.

Location: 25340 1300 East St, Walnut, IL, 63104-2024
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538656145
Provider Name
Kelly Cotaleen Todd
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
25340 1300 East St, Walnut, IL, 63104-2024
Phone Number
815-310-6222
Fax Number
Provider Enumeration Date
04/18/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
420071827 05 MO
institution
Provider Business Practice Location Address Details
Address
25340 1300 East St
City
Walnut
State
Illinois
Zip
61376-9274
Phone Number
815-310-6222
Fax Number
person
Provider Business Mailing Address Details
Address
25340 1300 East St
City
Walnut
State
Illinois
Zip
61376-9274
Phone Number
815-310-6222
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
MCS006520B (Massachusetts)
Definition
Definition to come...
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