Nancy K Kertz NP

NPI 1063424836 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1063424836
Gender Female
Enumeration Date 08/12/2006
Last Updated 10/22/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4117 S WATER TOWER PL
SUITE D
MOUNT VERNON IL, 62864-6293, US
Phone (618) 242-4848
Fax (618) 242-4198
Business Location
107 LINCOLN LN
BROOKINGS SD, 57006-2634, US
Phone (605) 695-5565
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State South Dakota
License Number CP000435
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According to our database, Nancy K Kertz NP NPI is 1063424836, taxonomy code is 363LF0000X and license number is CP000435, license state is located at South Dakota. Nancy K Kertz NP physically located at 4117 S Water Tower Pl, Mount Vernon IL, 62864-6293. NPI Number Nancy K Kertz NP has the Individual type.

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1063424836 NPI number is provided on an as is basis without warranty of any kind. 1063424836 is maintained by the National Plan & Provider Enumeration System. The contents of Nancy K Kertz NP are for informational purposes only.