Dina Kelly

NPI 1295126761 · on the registry since 2015 · sole proprietor

Practice

Address: 306 W Mill St
Carbondale, IL 62901
Phone: (618) 529-3060
Organisation at this address: Center For Comprehensive Services, Inc
Center For Comprehensive Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 21

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-02-05

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