Individual
KYLE MAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CNP
Contact information
Practice address
1505 EASTLAND DR STE 320, BLOOMINGTON, IL 61701-7912
(309) 661-2368
(309) 662-9709
Mailing address
1505 EASTLAND DR STE 320, BLOOMINGTON, IL 61701-7912
(309) 661-2368
(309) 662-9709
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
209.017287
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
209017287
IL
Other
Enumeration date
03/01/2018
Last updated
11/07/2024
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