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Kellie Bibb
Family Nurse Practitioner in Springfield, Illinois
NPI 1699147215

Kellie Bibb is a Family Nurse Practitioner based in Springfield, IL and is specialized in Family. Kellie Bibb practices in Springfield, IL. The NPI Number for Kellie Bibb is 1699147215 and holds a License No. 209013401 (Illinois).

The current practice location address for Kellie Bibb is 3220 Atlanta St, Springfield, IL and can be reached out via phone at 217-588-2600 and via fax at 217-862-0202.

Location: 3220 Atlanta St, Springfield, IL, 62708-3428
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Provider Profile Details
NPI Number
1699147215
Provider Name
Kellie Bibb
Credential
Provider Entity Type
Individual
Gender
Female
Address
3220 Atlanta St, Springfield, IL, 62708-3428
Phone Number
217-588-2600
Fax Number
217-862-0202
Provider Enumeration Date
10/22/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
041.382679 01 IL RN
institution
Provider Business Practice Location Address Details
Address
3220 Atlanta St
City
State
Zip
62707-8801
Phone Number
217-588-2600
Fax Number
217-862-0202
person
Provider Business Mailing Address Details
Address
3220 Atlanta St
City
State
Zip
62707-8801
Phone Number
217-588-2600
Fax Number
217-862-0202
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209013401 (Illinois)
Definition
Definition to come...
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