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1023360419
KIMBERLY A KISH
DECATUR, IL
NPI
1023360419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209009873)
Enumeration Date
2012-10-09
Last Update Date
2022-08-24
Business Address
KIMBERLY A KISH APN, CNP
2880 N MONROE ST
DECATUR, IL 62526-3269
Phone number: 217-330-8939
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Mailing Address
KIMBERLY A KISH APN, CNP
2880 N MONROE ST
DECATUR, IL 62526-3269
Phone number: 217-330-8939
Copy
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