Individual
KATHLEEN VEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4411 ALBY ST, ALTON, IL 62002-5916
(618) 474-8052
(618) 474-8054
Mailing address
4411 ALBY ST, ALTON, IL 62002-5916
(618) 474-8052
(618) 474-8054
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036076386
IL
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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