Individual
MS. KARA MICHELLE PAINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2512 HURST DR STE 120, MATTOON, IL 61938-9200
(217) 258-7590
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209005779
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041343702
—
IL
Enumeration date
05/22/2006
Last updated
08/14/2024
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