Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES KEITH VINEYARD
Active Sole ProprietorCHARLES KEITH VINEYARD is a Licensed Practical Nurse healthcare provider located in HARRISBURG, Illinois. NPI 1558073189 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · HARRISBURG, IL
Registration Details
- NPI Number
- 1558073189
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 14, 2022 (3.6523894258426 yrs)
- Last Updated
- Dec 14, 2022
- License
-
043072027 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
608 ROLLIE MOORE DRHARRISBURG, IL, 629462351Browse IL providers · Browse ZIP 62946
- Phone
- 6182526150
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in HARRISBURG, IL
| Name | Credential | NPI |
|---|---|---|
| MARY LYNN LASSETER | LPN | 1770257206 |
| MRS. CHRISTINA RAE DAVIS | — | 1538878780 |
| ALICIA CRISENBERY | LPN | 1396459566 |
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.