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Kevin Spangler, APN
Family Nurse Practitioner in Peoria Heights, Illinois
NPI 1659790350

Kevin Spangler is a Family Nurse Practitioner based in Peoria Heights, IL and is specialized in Family. Kevin Spangler practices in Peoria Heights, IL and has the professional credentials of APN. The NPI Number for Kevin Spangler is 1659790350 and holds a License No. 209017904 (Illinois).

The current practice location address for Kevin Spangler is 1120 E War Memorial Dr, Peoria Heights, IL and can be reached out via phone at 309-685-4411.

Location: 1120 E War Memorial Dr, Peoria Heights, IL, 61616-7757
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659790350
Provider Name
Kevin Spangler
Credential
APN
Provider Entity Type
Individual
Gender
Male
Address
1120 E War Memorial Dr, Peoria Heights, IL, 61616-7757
Phone Number
309-685-4411
Fax Number
Provider Enumeration Date
04/09/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209017904 01 IL LICENSE
institution
Provider Business Practice Location Address Details
Address
1120 E War Memorial Dr
City
Peoria Heights
State
Illinois
Zip
61616
Phone Number
309-685-4411
Fax Number
person
Provider Business Mailing Address Details
Address
1120 E War Memorial Dr
City
Peoria Heights
State
Illinois
Zip
61616
Phone Number
309-685-4411
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209017904 (Illinois)
Definition
Definition to come...
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