KENDALL E WALLACE

URBANA, IL
NPI1003391061
Former NameKENDALL E YOUNG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209017908)
Enumeration Date2018-09-26
Last Update Date2024-04-04
Business Address
KENDALL E WALLACE APRN
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-383-3311
Mailing Address
KENDALL E WALLACE APRN
611 W PARK ST
URBANA, IL 61801-2501
Phone number:
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