Individual provider · Type 1 NPI
Kiley M. Faires, FNP-BC
Family Nurse Practitioner · Belleville, IL
NPI number
1366806838
Active
Practice location
4600 Memorial Drive Ste 360
Belleville, IL 62226
Fax (618) 222-7281
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209014128 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1366806838
Kiley M. Faires, FNP-BC's National Provider Identifier is 1366806838, issued on Apr 11, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Belleville, IL. The record was last updated on Feb 4, 2021.