Individual
KEVIN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3131 N WATER ST, DECATUR, IL 62526-2472
(217) 876-5320
(217) 876-5865
Mailing address
3131 N WATER ST, DECATUR, IL 62526-2472
(217) 876-5320
(217) 876-5865
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209015484
IL
Other
Enumeration date
02/03/2017
Last updated
11/21/2024
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