Russell, Kasey Lynn

Russell, Kasey Lynn is an individual health care provider with primary practice located at 221 Ne Glen Oak Ave , Peoria IL 61636-0001. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Russell, Kasey Lynn can be contacted via phone (309) 672-4103.

Contact Information

Primary practice address

221 Ne Glen Oak Ave Peoria IL 61636-0001

Phone: (309) 672-4103

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Nursing Service Providers / Registered Nurse	163W00000X	041413115	Illinois

Profile Details

NPI number	1356829295
LBN Legal business name	Russell, Kasey Lynn
Credentials
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Aug 2nd, 2018
Last updated	Aug 2nd, 2018 - about 8 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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