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Individual

KATHERINE KINSELLA

Active
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Individual

KATHERINE KINSELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N, FNP

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
309-000755
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3715468
BLUE CROSS BLUE SHIELD
IL
01
371548
BC/BS
IL
Enumeration date
07/12/2006
Last updated
05/30/2008
Update your record

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