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1255961470
KYLE KAPPES
CHAMPAIGN, IL
NPI
1255961470
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209021566)
Enumeration Date
2020-01-16
Last Update Date
2022-01-05
Business Address
KYLE KAPPES
3101 FIELDS SOUTH DR
CHAMPAIGN, IL 61822-3743
Phone number: 217-366-1243
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Mailing Address
KYLE KAPPES
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3909
Phone number: 217-366-1243
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