Individual
TRACY KESINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
701 N 1ST ST, SPRINGFIELD, IL 62781-0002
(217) 788-3694
(217) 788-5526
Mailing address
701 N 1ST ST, SPRINGFIELD, IL 62781-0002
(217) 788-3694
(217) 788-5526
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
036672005
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036672005
APRN
IL
Enumeration date
12/05/2007
Last updated
08/27/2008
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