Individual
MS. KATHLEEN ANN EMERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.DT
Contact information
Practice address
229 N 2ND ST, VANDALIA, IL 62471-2348
(618) 780-2725
(618) 283-2155
Mailing address
229 N 2ND ST, VANDALIA, IL 62471-2348
(618) 283-8798
(618) 283-2155
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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