Individual
KATHERINE LAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20 N WASHINGTON ST, DU QUOIN, IL 62832-1429
(618) 542-2129
(618) 542-2903
Mailing address
4550 MEMORIAL DR, STE. 340, BELLEVILLE, IL 62226-5372
(618) 257-6200
(618) 257-6679
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
2011037562
MO
363LA2100X
Acute Care Nurse Practitioner
Primary
209009247
IL
Other
Enumeration date
12/22/2011
Last updated
06/14/2019
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