Individual
KRISTIN PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 W CHESTNUT ST, BLOOMINGTON, IL 61701-2814
(309) 824-6026
Mailing address
720 W CHESTNUT ST, BLOOMINGTON, IL 61701-2814
(309) 824-6026
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209011827
IL
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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