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Kathryn Gensel, NP
Pediatric Nurse Practitioner in Peoria, Illinois
NPI 1699740902

Kathryn Gensel is a Pediatric Nurse Practitioner based in Peoria, IL and is specialized in Pediatrics. Kathryn Gensel practices in Peoria, IL and has the professional credentials of NP. The NPI Number for Kathryn Gensel is 1699740902 and holds a License No. 209004202 (Illinois).

The current practice location address for Kathryn Gensel is 420 Ne Glen Oak Ave Ste 401, Peoria, IL and can be reached out via phone at 309-624-9844. You can also correspond with Kathryn Gensel through the mailing address at 1 ILLINI DR, PEORIA, IL - 61605-2576 (mailing address contact number: 309-671-8503).

Location: 420 Ne Glen Oak Ave Ste 401, Peoria, IL, 61605-2576
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Provider Profile Details
NPI Number
1699740902
Provider Name
Kathryn Gensel
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
420 Ne Glen Oak Ave Ste 401, Peoria, IL, 61605-2576
Phone Number
309-624-9844
Fax Number
Provider Enumeration Date
02/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
IL01DK 01 IL JOHN DEERE
07215036 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
420 Ne Glen Oak Ave Ste 401
City
State
Zip
61603-3168
Phone Number
309-624-9844
Fax Number
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Provider Business Mailing Address Details
Address
1 Illini Dr
City
State
Zip
61605-2576
Phone Number
309-671-8503
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
209004202 (Illinois)
Definition
Definition to come...
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