Individual
KAYLA FERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3591 GRIFFIN AVE, PEKIN, IL 61554-6258
(309) 353-1822
Mailing address
1616 HIGHVIEW RD, EAST PEORIA, IL 61611-1517
(309) 427-0368
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209020834
IL
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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