Individual
BETH ANN KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
431 W LIBERTY ST, WAUCONDA, IL 60084-2452
(847) 526-2151
(847) 526-2017
Mailing address
431 W LIBERTY ST, WAUCONDA, IL 60084-2452
(847) 526-2151
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209024912
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/21/2022
Last updated
03/15/2022
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