Individual
KEVIN LEE HAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1 PHIPPS LN, PARIS, IL 61944-2919
(217) 463-4340
Mailing address
10490 N US HIGHWAY 41, ROSEDALE, IN 47874-9126
(812) 249-8142
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209020837
IL
363LF0000X
Family Nurse Practitioner
28167157A
IN
Other
Enumeration date
02/24/2020
Last updated
03/22/2022
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