Individual
ANDREW KIRKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
200 S CEDAR ST, SHELBYVILLE, IL 62565-1838
(217) 774-3806
Mailing address
200 S CEDAR ST, SHELBYVILLE, IL 62565-1838
(217) 273-0422
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
209-018230
IL
363L00000X
Nurse Practitioner
Primary
209.018230
IL
363LA2200X
Adult Health Nurse Practitioner
209-018230
IL
363LG0600X
Gerontology Nurse Practitioner
209-018230
IL
Other
Enumeration date
09/24/2018
Last updated
06/04/2024
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