Individual
KALI WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6020 BROADWAY ST, QUINCY, IL 62305-7919
(217) 224-3366
Mailing address
6020 BROADWAY ST, QUINCY, IL 62305-7919
(217) 224-3366
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043128428
IL
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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