Individual
KRISTINA KAY DUCKELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21621 KIRKLAND RD, CARLINVILLE, IL 62626-3966
(217) 851-5936
Mailing address
21621 KIRKLAND RD, CARLINVILLE, IL 62626-3966
(217) 851-5936
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
IL
Other
Enumeration date
01/20/2018
Last updated
01/20/2018
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