Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KELLY SUE WILLENBORG, MA IN GERONTOLOGY
Active Sole ProprietorMRS. KELLY SUE WILLENBORG, MA IN GERONTOLOGY is a Rehabilitation Counselor healthcare provider located in EFFINGHAM, Illinois. NPI 1467935775 is currently active in the NPPES registry. Verify at CMS.
Rehabilitation Counselor · EFFINGHAM, IL
Registration Details
- NPI Number
- 1467935775
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 12, 2018 (7.9552952141871 yrs)
- Last Updated
- Sep 12, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 SUR WOODS DREFFINGHAM, IL, 624013113Browse IL providers · Browse ZIP 62401
- Phone
- 2172542149
- Primary Specialty
-
Rehabilitation Counselor
225C00000X
- Additional Specialty
- Rehabilitation Counselor
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.