NPI 1881859692

Kelly L Boeger

Practitioner Dietary Manager Danville, IL

Practice location

Address: 812 N Logan Ave Provena United Samaritans Medical Cent, Danville, IL 61832
Phone: (217) 443-5000
Mailing address: 2203 Country Squire Dr, Urbana, IL 61802-5603

Registered specialties

Dietary Manager Primary

Dietary & Nutritional Service Providers Taxonomy 132700000X Licence 968445 (IL)

Other Dietary Manager providers in Illinois →

Registry record

NPI: 1881859692
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jul 2008
Record last updated: 21 Jul 2008

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.