Kelley, Pamela Sue

Kelley, Pamela Sue is an individual health care provider with primary practice located at 747 N Rutledge St Baylis Building, 2Nd Floor, Springfield IL 62702-6700. 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. Kelley, Pamela Sue can be contacted via phone (217) 757-7932.

Contact Information

Primary practice address
747 N Rutledge St Baylis Building, 2Nd Floor Springfield IL 62702-6700
Phone: (217) 757-7932
Fax: (217) 757-7920
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209003154 Illinois

Profile Details

NPI number 1588852107
LBN Legal business name Kelley, Pamela Sue
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2007
Last updated Nov 13th, 2020 - about 6 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1588852107 NPPES
Illinois Other 041321588 RN LICENSE

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