Individual provider · Type 1 NPI

Kim Mank, ACNP

Adult Health Nurse Practitioner · Belleville, IL

NPI number 1639406879 Active

Practice location

4600 Memorial Dr Ste 200
Belleville, IL 62226-5363

Other practice locations

  • 12860 Troxler Ave, Highland, IL 62249-2898 · (618) 651-2816

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X209007723 (IL)
Acute Care Nurse Practitioner 363LA2100X209.007723 (IL)
Adult Health Nurse Practitioner Primary 363LA2200X209007723 (IL)

Adult Health Nurse Practitioner: Definition to come...

12 other providers at this address

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About NPI 1639406879

Kim Mank, ACNP's National Provider Identifier is 1639406879, issued on Nov 9, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Belleville, IL. The record was last updated on Sep 29, 2026.