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Individual

KATLYN HOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
3132 OLD JACKSONVILLE RD, SPRINGFIELD, IL 62704-7400
(217) 862-0800
(217) 862-0871
Mailing address
PO BOX 3428, SPRINGFIELD, IL 62708-3428
(217) 588-2624
(217) 757-2021

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209017377
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209017377
APN LICENSES
IL
Enumeration date
11/21/2018
Last updated
01/04/2019
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