Kelly, Stephanie

Kelly, Stephanie is an individual health care provider with primary practice located at 5023 N Illinois St , Fairview Heights IL 62208-3453. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kelly, Stephanie can be contacted via phone (618) 239-0678.

Contact Information

Primary practice address
5023 N Illinois St Fairview Heights IL 62208-3453
Phone: (618) 239-0678
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.020881 Illinois

Profile Details

NPI number 1770240897
LBN Legal business name Kelly, Stephanie
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2021
Last updated Nov 23rd, 2021 - about 3 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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