Individual
KIM MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 W WILSON DR, KANKAKEE, IL 60901-2255
(815) 995-8858
Mailing address
830 W WILSON DR, KANKAKEE, IL 60901-2255
(815) 995-8858
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
IL
Other
Enumeration date
05/24/2025
Last updated
05/24/2025
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