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Individual

VANADHI KANNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
PO BOX 372, MATTOON, IL 61938
(217) 238-4329
Mailing address
611 W PARK ST, URBANA, IL 61801-2501

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209010357
IL

Other

Enumeration date
05/08/2013
Last updated
06/30/2025
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