Kimberly J Israel, LPN
Licensed Vocational Nurse in Normal, IL. Individual provider (NPI-1).
NPI number1831761816
StatusActive
Last updated in NPPESJul 11, 2021
Details
- NPI
- 1831761816
- Entity type
- Individual (NPI-1)
- Name
- Kimberly J Israel
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2021
- Certification date
- Jul 11, 2021
- Last updated
- Jul 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 043103978 | IL | Yes |
Practice location
1501 Mercy Creek DrNormal, IL 61761-9597
Phone 309-268-1414
Mailing address
Po Box 75Armington, IL 61721-0075
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