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Mr. JUSTIN WILLIAM KIERBS ACNP-BC

Individual Provider (NPI-1) Active

Nurse Practitioner, Acute Care

Provider Information

NPI Number
1841579026
Provider Type
Individual Provider (NPI-1)
Credentials
ACNP-BC
Status
Active

Contact & Location

Address
1800 E LAKE SHORE DR, DECATUR, IL, 625213810
Phone
(217) 422-6100

Specialties & Taxonomies

Unknown License: IL #209.008969
Nurse Practitioner, Acute Care Primary License: IL #209008969

All Addresses

MAILING

1750 E LAKE SHORE DR SUITE 200

DECATUR, IL, 625213803

(217) 428-6300

LOCATION

1800 E LAKE SHORE DR

DECATUR, IL, 625213810

(217) 422-6100