Kelly A Bushur CP PH.D

  • NPI 1629248406
According to our database, the NPI number for Kelly A Bushur CP PH.D is 1629248406 and activated since 16 years ago. Kelly A Bushur CP PH.D is an individual provider who specializes in Clinical, and the primary practice location is 400 S Lewis Ln, Carbondale, IL 62901. You can also contact Kelly A Bushur CP PH.D via telephone number is (618) 519-9900. Provider NPI information was last updated on 10/23/2014.

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Overview of Kelly A Bushur CP PH.D

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 03/07/2008
  • Last updated: 10/23/2014

Primary Scrop of Practice

  • Taxonomy Code: 103TC0700X
  • Specialty: Clinical
  • License Number: 071005772
  • License State: IL

Provider Mailing Address

  • Address: Po Box 577
    Carterville, IL 62918
  • Phone: 618-985-8221
  • Fax: 618-985-6860

Provider Practice Location

  • Address: 400 S Lewis Ln
    Carbondale, IL 62901
  • Phone: 618-519-9900
  • Fax: 618-529-1384

Scope of Practice

  • Taxonomy Code: 103TC0700X
  • Specialty: Clinical
  • License Number: 071005772
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 370966854002
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IL
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kelly A Bushur CP PH.D?
  • A: The npi number for Kelly A Bushur CP PH.D is 1629248406.
  • Q: What are Kelly A Bushur CP PH.D's specialties?
  • A: Kelly A Bushur CP PH.D's specialties are Clinical and different specialities.
  • Q: What is the medical license for Kelly A Bushur CP PH.D?
  • A: The medical license number for Kelly A Bushur CP PH.D is 071005772 and issued in IL in USA.
  • Q: Where is Kelly A Bushur CP PH.D practice location?
  • A: Kelly A Bushur CP PH.D is practicing at 400 S Lewis Ln, Carbondale, IL 62901.
  • Q: How to contact Kelly A Bushur CP PH.D?
  • A: You can contact Kelly A Bushur CP PH.D via 618-519-9900.