Kelly L Deboer M.D.

NPI 1023070257 - Family Medicine - 207Q00000X

NPI Details
NPI 1023070257
Gender Female
Enumeration Date 04/04/2006
Last Updated 04/04/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
520 W WALNUT ST
OGLESBY MEDICAL CLINIC
OGLESBY IL, 61348-1400, US
Phone (815) 883-5388
Fax (815) 883-3604
Business Location
1305 SIXTH STREET
IVCH MEDICAL GROUP
PERU IL, 61354, US
Phone (815) 780-5030
Fax (815) 780-4635
Toxanomy
Taxonomy Code 207Q00000X
License State Nebraska
License Number 20671
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According to our database, Dr. Kelly L Deboer M.D. NPI is 1023070257, taxonomy code is 207Q00000X and license number is 20671, license state is located at Nebraska. Kelly L Deboer M.D. physically located at 520 W Walnut St, Oglesby IL, 61348-1400. NPI Number Kelly L Deboer M.D. has the Individual type.

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1023070257 NPI number is provided on an as is basis without warranty of any kind. 1023070257 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly L Deboer M.D. are for informational purposes only.