Individual
KYLE LEE ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1505 EASTLAND DR STE 1100, BLOOMINGTON, IL 61701-7905
(309) 663-2100
Mailing address
2 YEW CT, BLOOMINGTON, IL 61701-7806
(309) 310-1749
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.030259
IL
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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