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1063810463
KAYLA LORRAINE KIMMEL
BENTON, IL
NPI
1063810463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209012306)
Enumeration Date
2014-12-17
Last Update Date
2014-12-17
Business Address
Ms. KAYLA LORRAINE KIMMEL FNP
201 BAILEY LN
BENTON, IL 62812-1969
Phone number: 618-218-3690
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Mailing Address
Ms. KAYLA LORRAINE KIMMEL FNP
802 N 9TH ST APT B
BENTON, IL 62812-2935
Phone number: 618-218-3690
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