Gensel, Kathryn

Gensel, Kathryn is an individual health care provider with primary practice located at 420 Ne Glen Oak Ave Ste 401 Dept. Of Pediatrics, Peoria IL 61603-3168. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Gensel, Kathryn can be contacted via phone (309) 624-9844.

Contact Information

Primary practice address
420 Ne Glen Oak Ave Ste 401 Dept. Of Pediatrics Peoria IL 61603-3168
Phone: (309) 624-9844
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209004202 Illinois

Profile Details

NPI number 1699740902
LBN Legal business name Gensel, Kathryn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Sep 4th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699740902 NPPES
Illinois Other IL01DK JOHN DEERE
Illinois Other 07215036 JOHN DEERE

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