Individual
KATE E EDWARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
2890 S MOUNT ZION RD, SUITE A, DECATUR, IL 62521-9758
(217) 864-4327
(217) 864-0878
Mailing address
233 N MAIN ST, SUITE 3, DECATUR, IL 62523-1208
(217) 875-5555
(630) 429-9515
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3195
IL
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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