Search › Illinois › 222Q00000X
Kelley Gaither
NPI 1831498856 · on the registry since 2011 · sole proprietor
Practice
- Address
- 1874 Robin Mills Ct
Maryville, IL 62062 - Phone
- (618) 345-9396
- Fax
- (618) 343-9392
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-03-16
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