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Individual
KATIE LYNN GEBHARDT
Active
Individual
KATIE LYNN GEBHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.414190
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
209.014848
IL
Other
Enumeration date
09/23/2016
Last updated
10/25/2018
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