Individual
KAMAL AKHTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
300 HEALTH WAY DR, POTOSI, MO 63664-1420
(573) 438-5451
Mailing address
4711 GOLF RD, STE 1250, SKOKIE, IL 60076-1232
(847) 235-6130
(847) 941-0577
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2019003452
MO
363L00000X
Nurse Practitioner
Primary
277001620
IL
Other
Enumeration date
02/02/2019
Last updated
08/30/2022
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