Individual
KAYLA BLUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
801 E ORANGE ST, FAMILY MED, HOOPESTON, IL 60942-1802
(217) 283-5644
(217) 283-7981
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041355856
IL
363LF0000X
Family Nurse Practitioner
Primary
277002716
IL
Other
Enumeration date
11/16/2016
Last updated
06/09/2025
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