IndividualActive
Amanda Kinne, RPH
NPI 1659970267 · Pharmacist · Canton, IL
Provider details
- NPI number
- 1659970267
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Pharmacy Service Providers
- Athletic Trainer2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Ergonomics Occupational Therapist225XE1200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2071 N Main St
Canton, IL 61520-1032
Phone: (309) 647-8100
Fax: (309) 647-8580
Approximate (ZIP-level) locationGet directions
Mailing address
25788 N Venovich Rd
Canton, IL 61520-8396
Registry dates
- Enumerated
- 2020-10-23
- Last updated
- 2020-10-23
- Certified
- 2020-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.