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Kaela Champion
NPI 1649097361 · on the registry since 2024 · sole proprietor
Practice
- Address
- 3724 Grand Blvd Apt 2
Brookfield, IL 60513 - Phone
- (419) 309-0237
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois