Kelly Desmarais, APRN

NPI #1417830803 in Peoria, Illinois

Provider Information

NPI Number: 1417830803
Entity Type: Individual
Name: Kelly Desmarais, APRN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nurse Practitioner
Credential: APRN
Enumeration Date: Jul 31, 2025
Last Updated: Jul 31, 2025

Practice Location

Address: 719 N WILLIAM KUMPF BLVD STE 100
City: Peoria
State: Illinois
ZIP Code: 61605-2531
Phone: (309) 624-9934

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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