MR. Jeffery Jeane Kelley JR.
NPI #1104406990 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1104406990
- Entity Type
- Individual
- Name
- MR. Jeffery Jeane Kelley JR.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse's Aide
- Enumeration Date
- Apr 14, 2021
- Last Updated
- Apr 14, 2021
Practice Location
- Address
- 205 ASHLEY PL APT 2
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-3541
- Phone
- (618) 910-0942
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse's Aide |
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