Individual
KIMBERLY AGNITSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
207 N MADISON ST., ORIENT, IL 62874-0064
(618) 218-2606
Mailing address
PO BOX 64, ORIENT, IL 62874-0064
(618) 218-2606
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
194005896
IL
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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