Individual
KIRA FURKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
228 NE JEFFERSON AVE, PEORIA, IL 61603-3802
(309) 671-8297
Mailing address
228 NE JEFFERSON AVE, PEORIA, IL 61603-3802
(309) 671-8297
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209023717
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209023717
LICENSE
IL
Enumeration date
08/06/2021
Last updated
07/08/2022
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