Berry, Kelly Jo

Berry, Kelly Jo is an sole proprietor health care provider with primary practice located at 1813 Valencia Pl , Pekin IL 61554-6338. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Berry, Kelly Jo can be contacted via phone (309) 642-9211.

Contact Information

Primary practice address
1813 Valencia Pl Pekin IL 61554-6338
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X 285807 Arizona

Profile Details

NPI number 1881392132
LBN Legal business name Berry, Kelly Jo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2023
Last updated Feb 16th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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