Individual
KIMBERLEY DONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1929 10TH AVE E, MILAN, IL 61264-2953
(309) 787-2600
(309) 787-2643
Mailing address
1929 10TH AVE E, MILAN, IL 61264-2953
(309) 787-2600
(309) 787-2643
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209013092
IL
Other
Enumeration date
08/17/2015
Last updated
11/05/2015
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