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Lauren Katherine Kelly, PA-C
Physician Assistant in Belleville, Illinois
NPI 1578214458

Lauren Katherine Kelly is a Physician Assistant based in Saint Louis, IL. Lauren Katherine Kelly practices in Belleville, IL and has the professional credentials of PA-C. The NPI Number for Lauren Katherine Kelly is 1578214458 and holds a License No. 2023028270 (Illinois).

The current practice location address for Lauren Katherine Kelly is 4500 Memorial Dr, Belleville, IL and can be reached out via phone at 618-233-7750.

Location: 4500 Memorial Dr, Belleville, IL, 63104-1666
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578214458
Provider Name
Lauren Katherine Kelly
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4500 Memorial Dr, Belleville, IL, 63104-1666
Phone Number
618-233-7750
Fax Number
Provider Enumeration Date
01/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4500 Memorial Dr
City
Belleville
State
Illinois
Zip
62226-5360
Phone Number
618-233-7750
Fax Number
person
Provider Business Mailing Address Details
Address
4500 Memorial Dr
City
Belleville
State
Illinois
Zip
62226-5360
Phone Number
618-233-7750
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
()
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2023028270 (Missouri)
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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