Individual
KAITLYN S MCGOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
834 N SEMINARY ST STE 302402, GALESBURG, IL 61401-2852
(309) 343-5114
Mailing address
834 N SEMINARY ST STE 302402, GALESBURG, IL 61401-2852
(309) 343-5114
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209023431
IL
363LF0000X
Family Nurse Practitioner
Primary
277004321
IL
Other
Enumeration date
06/20/2020
Last updated
08/08/2025
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