Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY M INGRAM
Active Sole ProprietorKELLY M INGRAM is a Developmental Therapist healthcare provider located in BEACH PARK, Illinois. NPI 1649894130 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · BEACH PARK, IL
Registration Details
- NPI Number
- 1649894130
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 1, 2020 (6.0226296038911 yrs)
- Last Updated
- Jun 1, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
38229 N NORTH AVEBEACH PARK, IL, 600871662Browse IL providers · Browse ZIP 60087
- Phone
- 8476502823
- Primary Specialty
-
Developmental Therapist
222Q00000X
Other Developmental Therapist Providers in BEACH PARK, IL
| Name | Credential | NPI |
|---|---|---|
| MS. SUMER PORTER | — | 1548414048 |
| ROBIN JEAN KIEFFER | — | 1174828248 |
| MARY SOL ENRIQUEZ | — | 1518390871 |
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.