Kristin Nicole Kellim, M.P.T.

NPI #1306010913 in Wood River, Illinois

Provider Information

NPI Number: 1306010913
Entity Type: Individual
Name: Kristin Nicole Kellim, M.P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: M.P.T.
Enumeration Date: Apr 15, 2008
Last Updated: Feb 18, 2013

Practice Location

Address: 1138 VAUGHN RD
City: Wood River
State: Illinois
ZIP Code: 62095
Phone: (618) 259-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Physical Therapist	225100000X	Primary

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