Kellim, Kristin Nicole

Kellim, Kristin Nicole is an individual health care provider with primary practice located at 1138 Vaughn Rd , Wood River IL 62095. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Kellim, Kristin Nicole can be contacted via phone (618) 259-1100.

Contact Information

Primary practice address
1138 Vaughn Rd Wood River IL 62095
Phone: (618) 259-1100
Fax: (618) 259-1101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 2008010372 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070.017045 Illinois

Profile Details

NPI number 1306010913
LBN Legal business name Kellim, Kristin Nicole
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2008
Last updated Feb 18th, 2013 - about 13 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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