Individual
KIMBERLY MARIE HAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 W JOHNSON ST, POCAHONTAS, IL 62275-1032
(618) 882-8000
Mailing address
702 ACADEMY ST, POCAHONTAS, IL 62275-2235
(618) 882-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.428579
IL
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
12/05/2023
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