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Kelly Todd, PNP — NPI 1538656145, Walnut, IL | NPI Central

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NPI 1538656145

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Kelly Todd, PNP

NPI 1538656145 · Pediatric Nurse Practitioner · Walnut, IL

Provider details

NPI number: 1538656145
Entity type: Individual
Primary specialty: Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Credential: PNP
Sex: Female
Sole proprietor: No
License: MCS006520B (MA)

Specialties & taxonomies

Pediatric Nurse PractitionerPrimary363LP0200XLicense 277001500 (IL)
Physician Assistants & Advanced Practice Nursing Providers
Pediatric Nurse Practitioner363LP0200XLicense MCS006520B (MA)
Physician Assistants & Advanced Practice Nursing Providers
Pediatric Nurse Practitioner363LP0200XLicense 2018004205 (MO)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

25340 1300 East St

Walnut, IL 61376-9274

Phone: (815) 310-6222

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

2646 Park Ave

Saint Louis, MO 63104-2024

Additional practice locations (1)

300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-6000

Registry dates

Enumerated: 2018-04-18
Last updated: 2022-08-02
Certified: 2022-08-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.