Individual
KRISTI M TOENNIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
210 W. MCKINLEY AVE, STE 1, DECATUR, IL 62526
(217) 876-6600
(217) 876-6606
Mailing address
1052 MARTIN LUTHER KING DR, SUITE 2, CENTRALIA, IL 62801-3002
(618) 436-5410
(618) 436-8063
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
137122
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209004197
—
IL
Enumeration date
07/13/2006
Last updated
04/29/2015
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