Rankin, Kelly

Rankin, Kelly is an individual health care provider with primary practice located at 2202 Essington Rd Suite 101, Joliet IL 60435-1634. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Rankin, Kelly can be contacted via phone (815) 676-5310.

Contact Information

Primary practice address
2202 Essington Rd Suite 101 Joliet IL 60435-1634
Phone: (815) 676-5310
Fax: (815) 725-1321
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085004503 Illinois

Profile Details

NPI number 1932448396
LBN Legal business name Rankin, Kelly
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2013
Last updated Jul 29th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932448396 NPPES
Illinois Other 085004503 STATE LICENSE

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