Kelly, Karen
Kelly, Karen is an individual health care provider with primary practice located at Campus Box 1066 Southern Illinois University Edwardsville, Edwardsville IL 62026-1066. She recently has only one registered license in Nursing Service Providers / Administrator, which is considered as her primary health care specialty. Kelly, Karen can be contacted via phone (618) 650-3908.Contact Information
Primary practice address
Campus Box 1066 Southern Illinois University Edwardsville
Edwardsville IL 62026-1066
Phone: (618) 650-3908
Fax: (618) 650-2522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Administrator | 163WA2000X | 041-144845 | Illinois |
| Nursing Service Providers / Administrator | 163WA2000X | 064395 | Missouri |
Profile Details
| NPI number | 1396978441 |
|---|---|
| LBN Legal business name | Kelly, Karen |
| Credentials | EDD, RN, NEA-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2009 |
| Last updated | Aug 24th, 2009 - about 15 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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