Kelsey Dennis Shave

NPI 1669352225 · on the registry since 2025 · sole proprietor

Practice

Address: 404 N Hershey Rd Ste C
Bloomington, IL 61704
Phone: (877) 381-6538
Fax: (312) 663-0504
Organisation at this address: Gateway Foundation, Inc
Gateway Foundation, Inc. - Bhc
Gateway Professional Services, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

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: 2025-09-04

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