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Individual

LEE T KINSINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
201 N CUMMINGS LN, WASHINGTON, IL 61571-2181
(309) 444-3627
(309) 444-7158
Mailing address
201 N CUMMINGS LN, P.O. BOX 369, WASHINGTON, IL 61571-2181
(309) 444-3627
(309) 444-7158

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-082346
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036-082346
IL
Enumeration date
06/23/2006
Last updated
12/04/2007
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