Individual provider · Type 1 NPI

Candace Crystal Kudla, APRN

Primary Care Nurse Practitioner · Pontiac, IL

NPI number 1447929914 Active

Practice location

1506 W Reynolds St
Pontiac, IL 61764-9674

Call (815) 844-6123 Map

Fax (815) 844-3897

Mailing address

500 S Redbud Ln
Flanagan, IL 61740-9111

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X209023553 (IL)

Primary Care Nurse Practitioner: Definition to come...

10 other providers at this address

About NPI 1447929914

Candace Crystal Kudla, APRN's National Provider Identifier is 1447929914, issued on Sep 8, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Pontiac, IL. The record was last updated on Sep 8, 2021.