Individual
KACEY PANYIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN CNM
Contact information
Practice address
2016 VADALABENE DR, MARYVILLE, IL 62062-6901
(618) 288-2970
(618) 288-3572
Mailing address
2016 VADALABENE DR, MARYVILLE, IL 62062-6901
(618) 288-2970
(618) 288-3572
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209013810
IL
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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