Luciano, Kelly Ann

Luciano, Kelly Ann is an individual health care provider with primary practice located at 520 N 4Th St , Springfield IL 62702-5238. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Luciano, Kelly Ann can be contacted via phone (217) 757-8100.

Contact Information

Primary practice address
520 N 4Th St Springfield IL 62702-5238
Phone: (217) 757-8100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 125.061583 Illinois

Profile Details

NPI number 1598020158
LBN Legal business name Luciano, Kelly Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2012
Last updated Jul 10th, 2012 - about 14 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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