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Individual

BRETT KINDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1000 HEALTH CENTER DR, MATTOON, IL 61938-4644
(217) 258-2440
(217) 258-2186
Mailing address
100 SPADE LEAF BLVD APT J304, HENDERSONVILLE, TN 37075-4768

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
234503
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
209.024656
IL

Other

Enumeration date
08/04/2021
Last updated
05/26/2022
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