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

KELLY L BOEGER

Active

KELLY L BOEGER is a 132700000X healthcare provider located in DANVILLE, Illinois. NPI 1881859692 is currently active in the NPPES registry. Verify at CMS.

132700000X · DANVILLE, IL

Registration Details

NPI Number
1881859692
Provider Type
Individual
Gender
Female
NPI Issued
Jul 21, 2008 (18.098846927161 yrs)
Last Updated
Jul 21, 2008
License
968445 (IL)

Practice Information

Address
812 N LOGAN AVE
PROVENA UNITED SAMARITANS MEDICAL CENT
DANVILLE, IL, 61832
Browse IL providers · Browse ZIP 61832
Phone
2174435000
Primary Specialty
132700000X
132700000X
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.