Individual
KAYLA MOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN FNP-C
Contact information
Practice address
739 N JEFFERSON ST # 200, MASCOUTAH, IL 62258-1447
(618) 566-8810
Mailing address
739 N JEFFERSON ST # 200, MASCOUTAH, IL 62258-1447
(618) 566-8810
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.014373
IL
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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