Individual
MEGHAN KINGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-6961
(309) 655-6472
Mailing address
702 W SCOTTWOOD DR, PEORIA, IL 61615-1051
(309) 339-4586
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010262
IL
Other
Enumeration date
08/31/2016
Last updated
12/07/2017
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