Charles Keith Vineyard, | |
608 Rollie Moore Dr, Harrisburg, IL 62946-2351 | |
(618) 252-6150 | |
Not Available |
Full Name | Charles Keith Vineyard |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 608 Rollie Moore Dr, Harrisburg, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558073189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 043072027 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Charles Keith Vineyard, 608 Rollie Moore Dr, Harrisburg, IL 62946-2351 Ph: (618) 252-6150 | Charles Keith Vineyard, 608 Rollie Moore Dr, Harrisburg, IL 62946-2351 Ph: (618) 252-6150 |
Alicia Crisenbery, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 421 W Church St, Harrisburg, IL 62946 Phone: 618-638-4178 | |
Mrs. Christina Rae Davis, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 608 Rollie Moore Dr, Harrisburg, IL 62946 Phone: 618-252-6150 Fax: 618-252-6595 | |
Mary Lynn Lasseter, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 322 East Lincoln Street, Harrisburg, IL 62946 Phone: 618-926-0991 |