Individual
CAITLIN KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 421-9016
Mailing address
2615 N HAMPDEN CT, APT 2N, CHICAGO, IL 60614-7967
(847) 421-9016
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041384994
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209015039
IL
Other
Enumeration date
10/13/2016
Last updated
03/06/2017
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