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Individual

KERRY LYNN PITCHFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-BC

Contact information

Practice address
602 S 42ND ST, MOUNT VERNON, IL 62864-6264
(618) 899-3278
Mailing address
PO BOX 955860, SAINT LOUIS, MO 63195-9537
(636) 498-5944

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
041378652
IL
363L00000X
Nurse Practitioner
Primary
209021133
IL
363LF0000X
Family Nurse Practitioner
209021133
IL

Other

Enumeration date
04/14/2020
Last updated
08/04/2025
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