Individual
KALLIE M FRENCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
405 RUSHING DR, HERRIN, IL 62948-3730
(618) 993-3300
(618) 997-6626
Mailing address
PO BOX 1105, INDIANAPOLIS, IN 46206-1105
(618) 475-5200
(618) 351-4821
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085
IL
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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