Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM WHITESIDE
Active Sole ProprietorKIM WHITESIDE is a Private Vehicle healthcare provider located in ZION, Illinois. NPI 1386196780 is currently active in the NPPES registry. Verify at CMS.
Private Vehicle · ZION, IL
Registration Details
- NPI Number
- 1386196780
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 1, 2016 (9.8115859505619 yrs)
- Last Updated
- Nov 1, 2016
- License
-
W323-5165-9687 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2204 GABRIEL AVEZION, IL, 600992223Browse IL providers · Browse ZIP 60099
- Phone
- 8478153316
- Primary Specialty
-
Private Vehicle
347C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.