Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY KELLER
Active Sole ProprietorKELLY KELLER is a Early Intervention Provider Agency healthcare provider located in TUSCOLA, Illinois. NPI 1235720178 is currently active in the NPPES registry. Verify at CMS.
Early Intervention Provider Agency · TUSCOLA, IL
Registration Details
- NPI Number
- 1235720178
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 2, 2021 (5.5659755889087 yrs)
- Last Updated
- Feb 2, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
915 E BARKER STTUSCOLA, IL, 619531121Browse IL providers · Browse ZIP 61953
- Phone
- 2177785276
- Primary Specialty
-
Early Intervention Provider Agency
252Y00000X
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.