NPI 1770111999

Kelsey Lynn Runyon, PTDPT

Practitioner Physical Medicine & Rehabilitation Physician Olney, IL

Practice location

Address: 800 E Locust St, Olney, IL 62450-2553
Phone: (618) 395-6031
Fax: (618) 395-6289
Mailing address: 1704 N Jesse Rd, Noble, IL 62868-2815

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 070020155 (IL)

Other Physical Medicine & Rehabilitation providers in Illinois →

Registry record

NPI: 1770111999
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Apr 2020
Record last updated: 1 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.