Individual
KIMBERLY LYNN PRUEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1201 WOODDELL WAY STE B, MATTOON, IL 61938-1014
(217) 238-3000
(217) 238-3008
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209025334
IL
Other
Enumeration date
06/17/2022
Last updated
10/29/2025
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