KIMBERLY SOUDER

OAK LAWN, IL
NPI1811222318
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.007767)
Enumeration Date2009-10-16
Last Update Date2021-11-30
Business Address
KIMBERLY SOUDER FNP
4440 W 95TH ST
OAK LAWN, IL 60453-2600
Phone number: 708-684-1363
Mailing Address
KIMBERLY SOUDER FNP
526 OLD HICKORY RD
NEW LENOX, IL 60451-1651
Phone number: 815-693-5995
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