Individual provider · Type 1 NPI

Kathryn Gensel, NP

Pediatric Nurse Practitioner · Peoria, IL

NPI number 1699740902 Active

Practice location

420 NE Glen Oak Ave Ste 401, Dept. Of Pediatrics
Peoria, IL 61603-3168

Mailing address

1 Illini Dr
Peoria, IL 61605-2576

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X209004202 (IL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1699740902

Kathryn Gensel, NP's National Provider Identifier is 1699740902, issued on Feb 21, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Peoria, IL. The record was last updated on Sep 4, 2013.