MS. KELLY JO BERRY NPI 1881392132

NPI Information

  • NPI: 1881392132
  • Provider Name: MS. KELLY JO BERRY
  • Classification: Registered Nurse - 163WC0400X
  • Specialization: Case Management
  • Entity Type: Individual
  • Address: 1813 VALENCIA PL
    PEKIN, IL
    ZIP 61554
  • Phone: (309) 642-9211

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NPI Details

MS. Kelly Jo Berry is a case management registered nurse in Pekin, IL. MS. Kelly Jo Berry NPI is 1881392132. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1813 VALENCIA PL
PEKIN, IL
ZIP 61554-338
Phone: (309) 642-9211

The enumeration date for this NPI number is 2/16/2023 and was last updated on 2/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC0400XRegistered NurseCase Management285807ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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