SearchIllinois101Y00000X

Kelly Mann

NPI 1386242873 · on the registry since 2020 · sole proprietor

Practice

Address
301 S Henry St
Ashkum, IL 60911
Phone
(815) 370-0910

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-03-17

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