NPI 1063193753

Kortesha J Jones, PHLEBOTOMIST

Practitioner Phlebology Physician Kankakee, IL

Practice location

Address: 244 W Jeffery St, Kankakee, IL 60901-4957
Phone: (815) 549-3894

Registered specialties

Phlebology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202K00000X Licence 01870041-22 (IL)

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Registry record

NPI: 1063193753
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jul 2023
Record last updated: 27 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.