Individual
KACI N HAVLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 FOUNDERS LN, JACKSONVILLE, IL 62650-3919
(217) 528-7541
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209015784
IL
Other
Enumeration date
03/20/2017
Last updated
10/03/2022
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