Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KELLY SIU
DeactivatedStudent (Health Education/Training) · EDWARDSVILLE, IL
This NPI has been deactivated.
The record was deactivated on June 10, 2023.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1902334188
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 31, 2017 (6.0273224043716 yrs)
- Last Updated
- Jan 19, 2024
- Deactivated
- Jun 10, 2023
Practice Information
- Address
-
1 HAIRPIN DRIVEEDWARDSVILLE, IL, 620265144Browse IL providers · Browse ZIP 62026
- Phone
- 6186503705
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in EDWARDSVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| ANNA POIRIER | RN | 1558712356 |
| MARY T KIMUTIS | RN | 1639662331 |
| ABIGAIL KIRSTIE BROHAMMER | — | 1649896374 |
| BROOKE ANNE BUFFINGTON | — | 1740806058 |
| KAITLIN SWEENEY | — | 1154910883 |
| KATARINA DOBROSAVLJEVIC | RN | 1073103677 |
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.