IndividualActive
Kelly Boeger
NPI 1881859692 · Dietary Manager · Danville, IL
Provider details
- NPI number
- 1881859692
- Entity type
- Individual
- Primary specialty
- Dietary ManagerDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 968445 (IL)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
812 N Logan Ave
Provena United Samaritans Medical Cent
Danville, IL 61832
Phone: (217) 443-5000
Approximate (ZIP-level) locationGet directions
Mailing address
2203 Country Squire Dr
Urbana, IL 61802-5603
Registry dates
- Enumerated
- 2008-07-21
- Last updated
- 2008-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.