Individual
MS. KAYLA LORRAINE KIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
201 BAILEY LN, BENTON, IL 62812-1969
(618) 218-3690
Mailing address
802 N 9TH ST, APT B, BENTON, IL 62812-2935
(618) 218-3690
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209012306
IL
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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