Individual
CHRISTY ANNE KAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
6810 STATE ROUTE 162 STE 102, MARYVILLE, IL 62062-8560
(618) 288-4076
Mailing address
6810 STATE ROUTE 162 STE 102, MARYVILLE, IL 62062-8560
(618) 288-4076
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2019025808
MO
363L00000X
Nurse Practitioner
Primary
209023042
IL
363LA2200X
Adult Health Nurse Practitioner
2019025808
MO
363LA2200X
Adult Health Nurse Practitioner
209023042
IL
Other
Enumeration date
08/09/2019
Last updated
10/14/2021
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