Individual
KERBY SCANLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
400 N 9TH ST, 2ND FLOOR, CLINIC 2A, SPRINGFIELD, IL 62702-5310
(217) 545-8000
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.032326
IL
Other
Enumeration date
10/06/2025
Last updated
02/13/2026
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