Evans, Kelly S

Evans, Kelly S is an individual health care provider with primary practice located at 1414 Cross St Ste 230 , Shiloh IL 62269-2988. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Evans, Kelly S can be contacted via phone (618) 607-1260.

Contact Information

Primary practice address
1414 Cross St Ste 230 Shiloh IL 62269-2988
Phone: (618) 607-1260
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209017964 Illinois

Profile Details

NPI number 1508341181
LBN Legal business name Evans, Kelly S
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2018
Last updated Apr 21st, 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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