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Individual

KASEY DAWN KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
3106 OUTER DR, MARION, IL 62959-5270
(618) 997-4332
(618) 351-4807
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209017684
IL

Other

Enumeration date
05/28/2018
Last updated
09/17/2025
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