Individual
KATHLEEN BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
806 5TH ST, CARMI, IL 62821-1013
(618) 383-6605
Mailing address
806 5TH ST, CARMI, IL 62821-1013
(618) 383-6605
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
01/24/2020
Last updated
04/29/2020
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