Individual
KRISTIN RAYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62702-5324
(217) 525-5643
(217) 544-2521
Mailing address
108 OAKMONT DR, SPRINGFIELD, IL 62704-3116
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209.011317
IL
Other
Enumeration date
03/18/2014
Last updated
01/03/2022
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