Individual
KIM C ALLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
320 S LOCUST ST, CARLINVILLE, IL 62626-1648
(217) 854-3166
(217) 854-3778
Mailing address
320 S LOCUST ST, CARLINVILLE, IL 62626-1648
(217) 854-3166
(217) 854-3778
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041379670
IL
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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