Kelsey Lynn Lee
Individual provider Active NPI Developmental Therapist · Noble, IL
NPI 1962834754 · NPPES record last updated Aug 2, 2013
Key facts
- NPI
- 1962834754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 103 Oak St
Noble, IL 62868-1904 - Phone
- (217) 891-3743
- NPI assigned
- Aug 2, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
103 Oak St
Noble, IL 62868-1904
Mailing address
103 Oak St
Noble, IL 62868-1904
Other providers in Noble, IL
- Breanne Buerster
- Kimberly Correll
- Jody Lee Hazel
- Cynthia Dawn Klingler
- Prairie Ridge Orthopedic
- Karen Seals
- Christopher Spenner
- Maria L Totten
- West Richland Cusd No 2
All providers in Noble, IL · Developmental Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.