Kevin Polk
Kevin Polk is a Marriage & Family Therapist in Springfield, Illinois. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
350 Bourbon StSpringfield, IL 62707-2702
Phone: (209) 627-7677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X |
|---|
Record details
| NPI number | 1376184820 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 7, 2019 |
| Last updated in NPPES | October 7, 2019 |
| Mailing address | 350 Bourbon St, Springfield, IL 62707-2702 |
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