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Individual

KRISTIN MOONEYHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
727 E COURT ST, PARIS, IL 61944-2460
(217) 465-8411
(217) 463-3184
Mailing address
721 E COURT ST, PARIS, IL 61944-2460
(217) 465-4141
(217) 465-5615

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209027014
IL

Other

Enumeration date
04/12/2023
Last updated
04/12/2023
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