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KIMBERLY A KISH APN, CNP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1023360419
Individual Registrant: KIMBERLY A KISH APN, CNP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
407 S JACKSON ST STE A CERRO GORDO, IL 61818-4360 US
Tel: 217-763-6010 Fax: 217-763-6012
Tel: 217-763-6010 Fax: 217-763-6012
Contact information for business:
1000 MEDICAL CENTER DR MONTICELLO, IL 61856-2116 US
Tel: 217-762-6241 Fax: 217-762-1702
Tel: 217-762-6241 Fax: 217-762-1702
Registration Information:
NPI: 1023360419
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | IL | 209009873 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
