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Kendra Anderson, NP

Nurse Practitioner in Champaign, IL. Individual provider (NPI-1).

NPI number1922474477
StatusActive
Last updated in NPPESAug 19, 2015

Details

NPI
1922474477
Entity type
Individual (NPI-1)
Name
Kendra Anderson
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Aug 19, 2015
Last updated
Aug 19, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner209013046ILYes

Practice location

1701 Curtis Rd
Champaign, IL 61822-9678

Phone 217-365-6203

Mailing address

611 W Park St
Bwpc
Urbana, IL 61801-2529

Phone 217-383-6792

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