Individual
CATHY KIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2200 E WASHINGTON ST, BLOOMINGTON, IL 61701-4364
(309) 661-5190
Mailing address
2200 E WASHINGTON ST, BLOOMINGTON, IL 61701-4364
(309) 661-5190
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
00005187
NM
183500000X
Pharmacist
0019013
CO
183500000X
Pharmacist
Primary
051286449
IL
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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