KIMBERLY K LOPEZ

PEORIA, IL
NPI1154876498
Former NameKIMBERLY K PETERSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209014626)
Enumeration Date2016-08-16
Last Update Date2016-08-16
Business Address
-- KIMBERLY K LOPEZ
5401 N KNOXVILLE AVE SUITE 416
PEORIA, IL 61614-5098
Phone number: 309-692-7246
Mailing Address
-- KIMBERLY K LOPEZ
5401 N KNOXVILLE AVE SUITE 416
PEORIA, IL 61614-5098
Phone number: 309-692-7246