Individual
KRISTEN KAPALKA GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1170 FORTUNE BLVD, SHILOH, IL 62269
(618) 997-5266
Mailing address
3230 VETERANS MEMORIAL DR, MOUNT VERNON, IL 62864-5950
(618) 997-5266
(618) 997-5285
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036149925
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2015
Last updated
08/20/2019
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