Kelly, Jody L
Kelly, Jody L is an individual health care provider with primary practice located at 2901 N. Knoxville Ave. , Peoria IL 61603. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Kelly, Jody L can be contacted via phone (309) 688-7010.Contact Information
Primary practice address
2901 N. Knoxville Ave.
Peoria IL 61603
Phone: (309) 688-7010
Fax: (309) 688-7044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036102228 | Illinois |
Profile Details
| NPI number | 1932107208 |
|---|---|
| LBN Legal business name | Kelly, Jody L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Dec 7th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932107208 | NPPES |
| Illinois | MEDICAID | 036102228 |
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