Kelly M Logli APN

NPI 1730404419 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1730404419
Gender Female
Enumeration Date 04/06/2010
Last Updated 07/02/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
1253 N ALPINE RD
ROCKFORD IL, 61107-2201, US
Phone (779) 696-9201
Fax
Business Location
PO BOX 1567
ROCKFORD IL, 61110-0067, US
Phone
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Illinois
License Number 209008105
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According to our database, Kelly M Logli APN NPI is 1730404419, taxonomy code is 363LF0000X and license number is 209008105, license state is located at Illinois. Kelly M Logli APN physically located at 1253 N Alpine Rd, Rockford IL, 61107-2201. NPI Number Kelly M Logli APN has the Individual type.

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1730404419 NPI number is provided on an as is basis without warranty of any kind. 1730404419 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly M Logli APN are for informational purposes only.