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Kelly Carter
NPI 1124299722 · on the registry since 2008
Practice
- Address
- 17730 Star Rd
Prophetstown, IL 61277 - Phone
- (815) 537-5973
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-03-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois