SearchIllinois101YA0400X

Kerrick Kiley, CADC

NPI 1609228766 · on the registry since 2016 · sole proprietor

Practice

Address
120 N Vermilion St
Danville, IL 61832
Phone
(217) 274-7336

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-07-12

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