Individual
MS. KATHRYN J. GETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3981
(217) 366-1255
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3981
(217) 366-1255
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209000475
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
433990
MEDICARE GROUP
—
Enumeration date
08/01/2006
Last updated
01/05/2022
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