Individual
KATHLEEN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
223 E MAIN ST, PRINCEVILLE, IL 61559-9654
(309) 385-4371
(309) 385-2695
Mailing address
223 E MAIN ST, PRINCEVILLE, IL 61559-9654
(309) 385-4371
(309) 385-2695
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209004444
IL
363LF0000X
Family Nurse Practitioner
Primary
209004444
IL
Other
Enumeration date
05/12/2006
Last updated
12/04/2024
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