Individual
CAROLE H MCKINSTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2 SAINT ANTHONYS WAY, SUITE 305, ALTON, IL 62002-4569
(618) 462-2277
(618) 463-9342
Mailing address
2 SAINT ANTHONYS WAY, SUITE 305, ALTON, IL 62002-4569
(618) 462-2277
(618) 463-9342
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209007691
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209007691
LICENSE NUMBER-ILLINOIS
IL
Enumeration date
09/03/2009
Last updated
08/10/2011
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