Kellim, Kristin Nicole
Kellim, Kristin Nicole is an individual health care provider with primary practice located at 1138 Vaughn Rd , Wood River IL 62095. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Kellim, Kristin Nicole can be contacted via phone (618) 259-1100.Contact Information
Primary practice address
1138 Vaughn Rd
Wood River IL 62095
Phone: (618) 259-1100
Fax: (618) 259-1101
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 2008010372 | Missouri |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070.017045 | Illinois |
Profile Details
NPI number | 1306010913 |
---|---|
LBN Legal business name | Kellim, Kristin Nicole |
Credentials | Master of Physical Therapy (MPT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 15th, 2008 |
Last updated | Feb 18th, 2013 - about 11 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.
Popular Providers
-
French, David
8937 Grand Ave , River Grove IL 60171-3603 -
Siano, Dannan M
7605 1/2 North Ave , River Forest IL 60305 -
Crockett, Kathleen
400 S Main , Wood River IL 62095 -
Landsman, Carrie Baltsen
7411 Lake St Suite 2190, River Forest IL 60305-1876 -
Hendrix, Kevin
8937 Grand Ave , River Grove IL 60171-3603 -
Skare, Kristina Ranae
7411 Lake St Ste 2190 , River Forest IL 60305-1897 -
Block, Cory
8937 Grand Ave , River Grove IL 60171-3603 -
Peters, Susan M
345 Ashland Ave , River Forest IL 60305-2109