Individual
KATHY JEAN DUSTHIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
465 AVENUE OF THE CITIES, SUITE 140, EAST MOLINE, IL 61244-4044
(309) 755-9400
Mailing address
3722 FOREST RD, DAVENPORT, IA 52807-2347
(563) 355-5418
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209008075
IL
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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