Kinsella, Katherine

Kinsella, Katherine is an individual health care provider with primary practice located at 1051 W South St , Kewanee IL 61443-8354. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kinsella, Katherine can be contacted via phone (309) 852-7700.

Contact Information

Primary practice address
1051 W South St Kewanee IL 61443-8354
Fax: (309) 852-7764
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 309-000755 Illinois

Profile Details

NPI number 1306861463
LBN Legal business name Kinsella, Katherine
Credentials R.N, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated May 30th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306861463 NPPES
Illinois Other 3715468 BLUE CROSS BLUE SHIELD
Illinois Other 371548 BLUE CROSS BLUE SHIELD

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