Jody L. Kelly M.D. & Associates, Llc - North

LBN: Jody L. Kelly M.D. & Associates, Llc
Jody L. Kelly M.D. & Associates, Llc - North is an health care organization with primary practice located at 5401 N. Knoxville Ave. Suite 300, Peoria IL 61614-5021. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Jody L. Kelly M.D. & Associates, Llc can be contacted via phone (309) 692-4702, or through Long, Suzette M. via phone (309) 688-7082.

Contact Information

Primary practice address
5401 N. Knoxville Ave. Suite 300 Peoria IL 61614-5021
Phone: (309) 692-4702
Fax: (309) 692-0746
Website:
Map and Directions
Authorized official contact:
Name: Long, Suzette M. CPC, CPC-H
Phone: (309) 688-7082

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1881610475
LBN Legal business name Jody L. Kelly M.D. & Associates, Llc
DBA Doing business as Jody L. Kelly M.D. & Associates, Llc - North
Authorized official Long, Suzette M. CPC, CPC-H
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2006
Last updated Dec 20th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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