Joan Kelley Valid NPI
Individual provider · Family Nurse Practitioner · Minooka, IL
- NPI
- 1205210143
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- 209012858 (IL)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2015-07-09
- Last updated
- 2015-07-09
Practice location
309 Rivers Edge Dr
Minooka, IL 60447-9397
(815) 735-1408