Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KELLY COTALEEN TODD, PNP
ActiveMS. KELLY COTALEEN TODD, PNP is a Pediatric Nurse Practitioner healthcare provider located in WALNUT, Illinois. NPI 1538656145 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · WALNUT, IL
Registration Details
- NPI Number
- 1538656145
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 18, 2018 (8.28136333658 yrs)
- Last Updated
- Aug 2, 2022
- Licenses
-
MCS006520B (MA)2018004205 (MO)277001500 (IL)
Practice Information
- Address
-
25340 1300 EAST STWALNUT, IL, 613769274Browse IL providers · Browse ZIP 61376
- Phone
- 8153106222
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
- Additional Specialty
- Pediatric Nurse Practitioner
- Additional Specialty
- Pediatric Nurse Practitioner
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.