Individual
TERRA MARIE KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
801 E ORANGE ST, HOOPESTON, IL 60942-1802
(217) 283-5644
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007843
IL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
03/21/2020
Last updated
05/23/2022
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