person
Charles Keith Vineyard
Licensed Practical Nurse in Harrisburg, Illinois
NPI 1558073189

Charles Keith Vineyard is a Licensed Practical Nurse based in Harrisburg, IL. Charles Keith Vineyard practices in Harrisburg, IL. The NPI Number for Charles Keith Vineyard is 1558073189 and holds a License No. 043072027 (Illinois).

The current practice location address for Charles Keith Vineyard is 608 Rollie Moore Dr, Harrisburg, IL and can be reached out via phone at 618-252-6150.

Location: 608 Rollie Moore Dr, Harrisburg, IL, 62946-2351
person
Provider Profile Details
NPI Number
1558073189
Provider Name
Charles Keith Vineyard
Credential
Provider Entity Type
Individual
Gender
Male
Address
608 Rollie Moore Dr, Harrisburg, IL, 62946-2351
Phone Number
618-252-6150
Fax Number
Provider Enumeration Date
12/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
608 Rollie Moore Dr
City
State
Zip
62946-2351
Phone Number
618-252-6150
Fax Number
person
Provider Business Mailing Address Details
Address
608 Rollie Moore Dr
City
State
Zip
62946-2351
Phone Number
618-252-6150
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
043072027 (Illinois)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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