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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLIE BIBB

Active

KELLIE BIBB is a Family Nurse Practitioner healthcare provider located in SPRINGFIELD, Illinois. NPI 1699147215 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · SPRINGFIELD, IL

Registration Details

NPI Number
1699147215
Provider Type
Individual
Gender
Female
NPI Issued
Oct 22, 2015 (10.630035122676 yrs)
Last Updated
Jul 19, 2022
Licenses
209013401 (IL)
277.000110 (IL)

Practice Information

Address
3220 ATLANTA ST
SPRINGFIELD, IL, 627078801
Browse IL providers · Browse ZIP 62707
Phone
2175882600
Fax
2178620202
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in SPRINGFIELD, IL

Name Credential NPI
MRS. MARY BETH DITMAN C.F.N.P. 1114920139
LORRIE L CUARTAS WHNP, FNP-BC 1649271073
MEGAN F ZANGER CFNP 1790766699
CHARLENE J YOUNG CFNP 1255312039
THERESA M BOLEY CFNP 1184605743
LINDA S VAUTRAIN CFNP 1831170315
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.