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Contact Information

KYLE L ALEXANDER
1505 EASTLAND DR STE 1100
BLOOMINGTON, IL61701-7905
 Phone: 309-663-2100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KYLE L ALEXANDER · (Male)

NPI # 1427882943
Status Active
Credentials
Entity Individual
Enumeration date 08/27/2024
Last updated 08/27/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 209.030259
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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