Individual
KATHERINE A KRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1 CENTRE DR, PETERSBURG, IL 62675-9584
(217) 632-7761
(217) 632-0312
Mailing address
1 CENTRE DR, PETERSBURG, IL 62675-9584
(217) 632-7761
(217) 632-0312
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209000677
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041-225148
RN LICENSE
IL
Enumeration date
02/22/2006
Last updated
06/01/2011
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