Kelsey, Tara A
Kelsey, Tara A is an individual health care provider with primary practice located at 2265 W Altorfer Dr , Peoria IL 61615-1807. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Kelsey, Tara A can be contacted via phone (309) 683-7700.Contact Information
Primary practice address
2265 W Altorfer Dr
Peoria IL 61615-1807
Phone: (309) 683-7700
Fax: (309) 683-7752
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 209034783 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 209034783 | Illinois |
Profile Details
| NPI number | 1356296230 |
|---|---|
| LBN Legal business name | Kelsey, Tara A |
| Credentials | APRN, CNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 4th, 2026 |
| Last updated | Jul 31st, 2026 - about 3 months 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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