Search › Illinois › 225100000X
Derek Kelton
NPI 1386138444 · on the registry since 2018
Practice
- Address
- 2325 W Monroe St
Springfield, IL 62704 - Phone
- (217) 547-2497
Additional practice sites
- 4460 S Noland Rd, Independence, MO
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-07
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