Individual
KATHY LYNN RAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
342 NORTH ST STE D, MURPHYSBORO, IL 62966-2250
(618) 568-2835
Mailing address
208 N MCDYBY ST, BUCKNER, IL 62819-1333
(618) 246-8188
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.060729
IL
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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