Individual
KRISTIN D DORTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
103 COMMERCE ST, CARMI, IL 62821-2223
(618) 384-5686
Mailing address
4241 HIGHWAY 14 W, CHRISTOPHER, IL 62822-1037
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041476356
IL
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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