Individual
ANDREA KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3303
(217) 383-3265
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN155338
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
2090214796
IL
Other
Enumeration date
04/08/2020
Last updated
01/21/2021
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