Individual
KATHERINE C. PAINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
513 N MAIN ST, ANNA, IL 62906-1668
(618) 833-4471
(618) 833-4900
Mailing address
513 N MAIN ST, ANNA, IL 62906-1697
(618) 833-4471
(618) 833-4900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036148565
IL
207Q00000X
Family Medicine Physician
DR.0054685
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26958350
—
CO
01
—
498620YTYK
WITH CEDAR POINT HEALTH
CO
01
—
P01655454
RAILROAD MEDICARE WITH CEDAR POINT HEALTH
—
Enumeration date
05/20/2013
Last updated
09/26/2024
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