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Individual

ERICA SUE KNIEPKAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1250 MERCANTILE DR, HIGHLAND, IL 62249-1239
(618) 654-4449
Mailing address
1832 KINSELLA AVE, SWANSEA, IL 62226-1780
(618) 920-3427

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209014060
IL

Other

Enumeration date
03/14/2016
Last updated
11/04/2021
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