Individual
KATHRYN MENTZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2300 N EDWARD ST, DECATUR, IL 62526-4163
(217) 876-8121
(217) 876-2287
Mailing address
2300 N EDWARD ST, DECATUR, IL 62526-4163
(217) 876-8121
(217) 876-2287
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209011205
IL
Other
Enumeration date
02/26/2014
Last updated
05/14/2014
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