KAYLA R DETERS

EFFINGHAM, IL
NPI1376051292
Former NameKAYLA R FOOR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209016977)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: IL  209016977)
Enumeration Date2018-01-12
Last Update Date2023-01-24
Business Address
KAYLA R DETERS APN, FNP-BC
1303 W EVERGREEN AVE STE 200
EFFINGHAM, IL 62401-1638
Phone number: 217-342-3400
Mailing Address
KAYLA R DETERS APN, FNP-BC
1005 HEALTH CENTER DR STE 201
MATTOON, IL 61938-4653
Phone number: 217-868-2812