Healthcare Provider Details

I. General information

NPI: 1861310419
Provider Name (Legal Business Name): KELSEY KIRK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W ADAMS ST
MORTON IL
61550-1804
US

IV. Provider business mailing address

1760 KINGSBURY RD
WASHINGTON IL
61571-9277
US

V. Phone/Fax

Practice location:
  • Phone: 309-369-8355
  • Fax:
Mailing address:
  • Phone: 309-369-8355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178.032814
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: