KELLY HARGIS

Contractor

Active Individual
NPI: 1508151192

Practice Address

24994 E FISHBACK RD
Marshall, IL 62441

Phone: (217) 264-5355

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1508151192 is the National Provider Identifier for KELLY HARGIS, a Contractor provider located in Marshall, IL. This NPI was enumerated on June 13, 2011.
KELLY HARGIS practices at 24994 E FISHBACK RD, Marshall, IL 62441.

Quick Facts

NPI
1508151192
Type
Individual
Enumerated
Jun 13, 2011
Last Updated
Jun 13, 2011

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