IndividualActive
Cheri Kelly, PA
NPI 1053469387 · Medical Physician Assistant · Murphysboro, IL
Provider details
- NPI number
- 1053469387
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 085001319 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
7 S Hospital Dr
Murphysboro, IL 62966-3333
Phone: (618) 687-3418
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 577
Carterville, IL 62918-0577
Registry dates
- Enumerated
- 2007-01-05
- Last updated
- 2012-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.