Individual
KENECIA DONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
248 SANDRIDGE DR, COLLINSVILLE, IL 62234-3792
(618) 406-6681
Mailing address
248 SANDRIDGE DR, COLLINSVILLE, IL 62234-3792
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019001633
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019001633
ANCC
MO
01
—
209.018650
ANCC
IL
Enumeration date
03/19/2019
Last updated
03/19/2019
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