Individual
MS. KATHERINE ELAINE BRYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
202 E PARK ST, CHAMPAIGN, IL 61820-3723
(217) 373-2430
Mailing address
2409 E ILLINOIS ST, URBANA, IL 61802-4566
(217) 337-5148
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043069470
IL
Other
Enumeration date
06/17/2008
Last updated
06/25/2008
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