Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JODY L KELLY, M.D.
DeactivatedJODY L KELLY, M.D. is a Obstetrics & Gynecology healthcare provider located in PEORIA, Illinois. NPI 1932107208 is deactivated in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology · PEORIA, IL
This NPI has been deactivated.
The record was deactivated on March 16, 2006.
Deactivated NPIs are no longer valid for billing or credentialing.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
- 1932107208
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 12, 2005 (0.67671232876712 yrs)
- Last Updated
- Dec 7, 2011
- Deactivated
- Mar 16, 2006
- License
-
036102228 (IL)
Practice Information
- Address
-
2901 N. KNOXVILLE AVE.PEORIA, IL, 61603Browse IL providers · Browse ZIP 61603
- Phone
- 3096887010
- Fax
- 3096887044
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
Other Obstetrics & Gynecology Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| JACK MICHAEL GIBSON | M.D. | 1346235777 |
| MRS. LORI A TEVERBAUGH | M.D. | 1427037209 |
| MR. JOSHUA A CROLAND | M.D. | 1215916093 |
| DR. ANTOINETTE T LEVASSEUR | M.D. | 1144291055 |
| RIDA W BOULOS | MD | 1114991577 |
| EDWARD SAAD | MD | 1891764908 |
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.