Farroll, Kelly M
Farroll, Kelly M is an individual health care provider with primary practice located at 2166 Madison Ave , Granite City IL 62040-4700. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Farroll, Kelly M can be contacted via phone (618) 452-3301.Contact Information
Primary practice address
2166 Madison Ave
Granite City IL 62040-4700
Phone: (618) 452-3301
Fax: (618) 452-3312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036-093514 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036093514 | Illinois |
Profile Details
| NPI number | 1063503704 |
|---|---|
| LBN Legal business name | Farroll, Kelly M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Feb 8th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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