KATHY DERRICK

URBANA, IL
NPI1689082174
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209011668)
Enumeration Date2014-07-28
Last Update Date2021-01-29
Business Address
Mrs. KATHY DERRICK FNP-BC
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-383-2410
Mailing Address
Mrs. KATHY DERRICK FNP-BC
611 W PARK ST FAPC
URBANA, IL 61801
Phone number:
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