KENT EDWARDS

BENTON, IL
NPI1750893889
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209016765)
Enumeration Date2017-10-30
Last Update Date2017-10-30
Business Address
KENT EDWARDS FNP-C
11488 SUGAR CREEK RD
BENTON, IL 62812-4315
Phone number: 618-927-1610
Mailing Address
KENT EDWARDS FNP-C
11488 SUGAR CREEK RD
BENTON, IL 62812-4315
Phone number: 618-927-1610
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