Individual
MRS. CHRISTEL J KAPPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-8750
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-8750
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005466
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
04/20/2011
Last updated
11/30/2023
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