Kimberly Ann Greenwalt LPN

NPI 1164523221 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1164523221
Gender Female
Enumeration Date 09/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
201 E N AVE
CLAY MEDICAL CENTER
FLORA IL, 62839, US
Phone (618) 662-8386
Fax (618) 662-4338
Business Location
PO BOX 155
REA CLINIC
CHRISTOPHER IL, 62822, US
Phone (618) 724-2401
Fax (618) 724-2571
Toxanomy
Taxonomy Code 164W00000X
License State
License Number
Remove 1164523221 NPI Number
 

According to our database, Mrs. Kimberly Ann Greenwalt LPN NPI is 1164523221, taxonomy code is 164W00000X Kimberly Ann Greenwalt LPN physically located at 201 E N Ave, Flora IL, 62839. NPI Number Kimberly Ann Greenwalt LPN has the Individual type.

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1164523221 NPI number is provided on an as is basis without warranty of any kind. 1164523221 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Ann Greenwalt LPN are for informational purposes only.