Individual
COURTNEY KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1306 N. BERKLEY AVE, PEORIA, IL 61603
(309) 886-4000
Mailing address
1628 KINGSBURY RD, WASHINGTON, IL 61571-9261
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209022155
IL
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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