Individual
KAYSHA SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
211 S PROSPECT RD STE 14, BLOOMINGTON, IL 61704-4910
(309) 451-4312
Mailing address
211 S PROSPECT RD STE 14, BLOOMINGTON, IL 61704-4910
(309) 451-4312
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3541
IL
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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