Individual
JILL ANNE KINSELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
703 SEIBERT RD., SUITE 5, SCOTT AFB, IL 62225
(618) 744-1969
(618) 744-1986
Mailing address
703 SEIBERT RD., SUITE 5, SCOTT AFB, IL 62225
(618) 744-1969
(618) 744-1986
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-027404
IL
Other
Enumeration date
07/17/2007
Last updated
06/22/2018
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