Individual
KEVIN M STARKWEATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
350 W CARPENTER ST, SPRINGFIELD, IL 62702-4902
(217) 528-7541
(217) 525-1404
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209019843
IL
Other
Enumeration date
08/13/2019
Last updated
05/19/2020
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