Individual
MS. KIM MARIA SHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 N NORTH ST, PEORIA, IL 61606-1533
(309) 671-2310
(309) 674-3560
Mailing address
1201 N NORTH ST, PEORIA, IL 61606-1533
(309) 671-2310
(309) 674-3560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.008069
IL
Other
Enumeration date
01/13/2011
Last updated
01/09/2017
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