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Individual

TIMOTHY KUYPERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
362 JEFFERSON CT, VERNON HILLS, IL 60061-1349
(224) 595-6541
Mailing address
362 JEFFERSON CT, VERNON HILLS, IL 60061-1349
(224) 595-6541

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
230810-30
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
230810
WI

Other

Enumeration date
09/28/2018
Last updated
07/05/2019
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