KELLY JEAN KALMER


Address: 9401 Holy Cross Ln Ste 112, Breese, IL 62230-3510
Phone: 6182062082

KELLY JEAN KALMER (NPI# 1356700173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356700173
Entity Type Individual
Full Name KELLY JEAN KALMER
Credential NP
Practice Address 9401 Holy Cross Ln Ste 112
Breese
IL 62230-3510
Practice Telephone 6182062082
Mailing Telephone 6182062082
Enumeration Date 2016-02-22
Last Update Date 2019-02-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
209013852 IL Physician Assistants & Advanced Practice Nursing Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
209013852 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 9401 HOLY CROSS LN STE 112
City BREESE
State IL
Zip Code 62230-3510

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326313032 Meghan M Ziegler Nurse Practitioner 9401 Holy Cross Ln Ste 112, Breese, IL 62230-3510 2012-03-13
1528616125 Jessica Lee Greenfield Nurse Practitioner 9401 Holy Cross Ln Ste 112, Breese, IL 62230-3510 2019-08-28
1346730561 Amanda Walden Nurse Practitioner 9401 Holy Cross Ln Ste 112, Breese, IL 62230 2018-05-14
1730600644 Jonathan Dennis Hoskins Family Medicine 9401 Holy Cross Ln Ste 112, Breese, IL 62230-3510 2017-06-30
1912449968 Melissa Siebert Nurse Practitioner 9401 Holy Cross Ln Ste 112, Breese, IL 62230 2016-11-08
1306207139 Kara Ann Huegen Nurse Practitioner 9401 Holy Cross Ln Ste 112, Breese, IL 62230-3510 2016-03-07
1770986010 Melanie L. Banal Nurse Practitioner 9401 Holy Cross Ln Ste 112, Breese, IL 62230-3510 2014-10-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841738457 Coping 4 Kids Social Worker 900 N Walnut St., Breese, IL 62230 2017-02-02
1528505146 Danielle Mueller Licensed Practical Nurse 604 North Chestnut, Breese, IL 62230 2017-01-20
1104000561 Competitive Edge Sports Medicine Family Medicine 14160 Jamestown Rd, Breese, IL 62230 2007-12-20
1063606978 Clarkson Optometry Illinois PC Optometrist 103 Clintonian Plaza, Breese, IL 62230 2007-09-04
1013002658 St Josephs Hospital Breese of The Hospital Sisters of The Third Order Family Medicine 9401 Holy Cross Lane, Suite 112, Breese, IL 62230 2006-10-03
1730287434 Breese Dental Group PC. Dentist 9437 Holy Cross Ln., Breese, IL 62230 2006-09-20
1144328832 Joe Cao Truong Dentist 9437 Holy Cross Lane, Breese, IL 62230 2006-09-20
1356391155 Timothy H Droege Dentist 111 North Main, Breese, IL 62230 2006-05-11
1346206042 Thomas B Doyle Radiology 9515 Holy Cross Lane, Breese, IL 62230 2006-04-22
1821537820 Talisha Nyman Nurse Practitioner 9401 Holy Cross Lane, Suite 112, Breese, IL 62230 2017-02-23
Find all providers in zip 62230

Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1083222368 Izolda Rosario Nurse Practitioner 501 W Lake St Ste 207, Elmhurst, IL 60126-1419 2020-07-22
1043832785 Melanie Glander Nurse Practitioner 18357 Cowing Ct, Homewood, IL 60430-3332 2020-05-16
1699306902 Ife Muyiwa-ojo Nurse Practitioner 729 E Carpenter St, Springfield, IL 62702-5321 2020-01-27
1962040345 Doctors Orders Inc. Nurse Practitioner 5113 S Harper Ave Ste 2, Chicago, IL 60615-4119 2019-12-16
1801455993 Parul Arora Nurse Practitioner 1717 W Congress Pkwy Ste 1125, Chicago, IL 60612-3809 2019-06-11
1891358222 Kelly Jo Erke Nurse Practitioner 20830 N 1970 East Rd, Danville, IL 61834-6228 2019-04-22
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Competitor

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City BREESE
Zip Code 62230

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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