Individual
KATHIE KINDRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
8940 N WOOD SAGE RD, PEORIA, IL 61615-7822
(309) 243-3000
(309) 243-3193
Mailing address
8940 N WOOD SAGE RD, PEORIA, IL 61615-7822
(309) 243-3000
(309) 243-3193
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209022456
IL
363LF0000X
Family Nurse Practitioner
209022456
IL
Other
Enumeration date
12/18/2020
Last updated
03/02/2026
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