Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEFFERY JEANE KELLEY JR.
ActiveMR. JEFFERY JEANE KELLEY JR. is a Nurse's Aide healthcare provider located in EDWARDSVILLE, Illinois. NPI 1104406990 is currently active in the NPPES registry. Verify at CMS.
Nurse's Aide · EDWARDSVILLE, IL
Registration Details
- NPI Number
- 1104406990
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 14, 2021 (5.3564797431665 yrs)
- Last Updated
- Apr 14, 2021
Practice Information
- Address
-
205 ASHLEY PL APT 2EDWARDSVILLE, IL, 620253541Browse IL providers · Browse ZIP 62025
- Phone
- 6189100942
- Primary Specialty
-
Nurse's Aide
376K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.