Individual
ANGELA BROOKE KAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6 FERRELL RD, ROSICLARE, IL 62982-1052
(618) 285-6634
Mailing address
165 LAMBTOWN RD, CAVE IN ROCK, IL 62919-2123
(618) 638-2931
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209.024116
IL
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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