CHERI W KELLY PA
NPI 1053469387
Physician Assistant - Medical in Murphysboro, IL

Active since January 05, 2007
7 S HOSPITAL DR, MURPHYSBORO, IL 62966(618) 687-3418 Get Directions Write a Review

NPPES record last updated: September 13, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cheri W Kelly Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHERI W KELLY PA (NPI 1053469387) is an individual medical provider in Murphysboro, Illinois, licensed in Illinois (085001319) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1053469387
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCHERI W KELLYCredential: PA
Location Address7 S HOSPITAL DRMurphysboro, IL 62966-3333
Mailing AddressPo Box 577Carterville, IL 62918-0577 · (618) 956-9540
Sole ProprietorNo
Enumeration DateJanuary 5, 2007
Last NPPES UpdateSeptember 13, 2012
NPI 1053469387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in IL · 085001319
7 S HOSPITAL DR, Murphysboro, IL 62966

Other Identifiers 9

Other085001319IL · State License Number
Medicare OSCAR/certification141840IL
OtherCF3444IL · Medicare Rr
Medicare OSCAR/certification640701IL
Medicare UPINS97504IL
Medicare OSCAR/certification141848IL
Medicaid370966854002IL
Medicaid370966854005IL
Other132564IL · Health Alliance

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
7 S HOSPITAL DR
MURPHYSBORO, IL 62966
Pharmacy (Community/Retail Pharmacy)
7 S HOSPITAL DR
MURPHYSBORO, IL 62966
Social Worker (Clinical)
7 S HOSPITAL DR
MURPHYSBORO, IL 62966
Nurse Practitioner (Family)
7 S HOSPITAL DR
MURPHYSBORO, IL 62966
Pharmacist
7 S HOSPITAL DR
MURPHYSBORO, IL 62966
Dietitian, Registered
7 S HOSPITAL DR
MURPHYSBORO, IL 62966
Nurse Practitioner
7 S HOSPITAL DR
MURPHYSBORO, IL 62966
Nurse Practitioner (Gerontology)
7 S HOSPITAL DR
MURPHYSBORO, IL 62966

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cheri Kelly's NPI number?

The NPI number for Cheri Kelly is 1053469387. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Cheri Kelly located?

Cheri Kelly practices at 7 S Hospital Dr, Murphysboro, IL 62966. The listed phone number is (618) 687-3418.

What is Cheri Kelly's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Cheri Kelly was last updated on September 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.