Individual
MISS KAYLA D MUMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
900 W TEMPLE AVE, SUITE 101, EFFINGHAM, IL 62401
(217) 347-2500
Mailing address
900 W TEMPLE AVE, SUITE 101, EFFINGHAM, IL 62401
(217) 347-2500
(217) 342-9775
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
041433036
IL
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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