| Cheri W Kelly, PA | |
|
7 S Hospital Dr, Murphysboro, IL 62966-3333 | |
| (618) 687-3418 | |
| Not Available |
| Full Name | Cheri W Kelly |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 7 S Hospital Dr, Murphysboro, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053469387 | NPI | - | NPPES |
| 370966854002 | Medicaid | IL | |
| CF3444 | Other | IL | MEDICARE RR |
| 370966854005 | Medicaid | IL | |
| 132564 | Other | IL | HEALTH ALLIANCE |
| 085001319 | Other | IL | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 085001319 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Cheri W Kelly, PA Po Box 577, Carterville, IL 62918-0577 Ph: (618) 956-9540 | Cheri W Kelly, PA 7 S Hospital Dr, Murphysboro, IL 62966-3333 Ph: (618) 687-3418 |
Russell W Brown Ii, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7 S Hospital Dr, Murphysboro, IL 62966 Phone: 618-519-9200 Fax: 618-687-1859 | |
Amanda S Sailliez, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19 E Shawnee Dr Ste 2, Murphysboro, IL 62966 Phone: 618-684-2172 Fax: 618-687-4480 | |
Stacey A Leithliter, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 S Hospital Dr, Murphysboro, IL 62966 Phone: 618-687-3418 | |
Mrs. Lisa Christine Baranski, Physician Assistant Medicare: Medicare Enrolled Practice Location: 7 S Hospital Dr, Murphysboro, IL 62966 Phone: 618-519-9200 Fax: 618-684-2748 |