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Individual

MS. KIMBERLY WINSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
509 W. UNIVERSITY AVENUE, URBANA, IL 61801
(217) 383-6636
(217) 383-3466
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
(217) 383-4752

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2008033324
MO

Other

Enumeration date
06/18/2006
Last updated
05/16/2014
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