Individual
MRS. KATHRYN LINDSAY K COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN,FNP-BC
Contact information
Practice address
2023 VADALABENE DR, MARYVILLE, IL 62062-5630
(618) 288-8950
(618) 288-8943
Mailing address
2023 VADALABENE DR, MARYVILLE, IL 62062-5630
(618) 288-8950
(618) 288-8943
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.010387
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01228857
RR MEDICARE
IL
Enumeration date
06/20/2013
Last updated
12/02/2013
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