institution
Kendra Poole Inc
Family Nurse Practitioner in Princeton, Illinois
NPI 1831854744

Kendra Poole Inc is a Family Nurse Practitioner based in Peru, IL and is specialized in Family. Kendra Poole Inc practices in Princeton, IL. The NPI Number for Kendra Poole Inc is 1831854744 and holds a License No. (Illinois).

The current practice location address for Kendra Poole Inc is 334 Backbone Rd E, Princeton, IL and can be reached out via phone at 815-303-4668 and via fax at 949-862-8061.

Location: 334 Backbone Rd E, Princeton, IL, 61354-3465
institution
Provider Profile Details
NPI Number
1831854744
Provider Name
Kendra Poole Inc
Credential
Provider Entity Type
Organization
Address
334 Backbone Rd E, Princeton, IL, 61354-3465
Phone Number
815-303-4668
Fax Number
949-862-8061
Provider Enumeration Date
11/04/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1831854744 05 IL
institution
Provider Business Practice Location Address Details
Address
334 Backbone Rd E
City
State
Zip
61356-9685
Phone Number
815-303-4668
Fax Number
949-862-8061
person
Provider Business Mailing Address Details
Address
334 Backbone Rd E
City
State
Zip
61356-9685
Phone Number
815-303-4668
Fax Number
949-862-8061
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
()
Definition
Definition to come...
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