Individual provider · Type 1 NPI
Kim Whiteside
Private Vehicle · Zion, IL
NPI number
1386196780
Active
Practice location
2204 Gabriel Ave
Zion, IL 60099-2223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Private Vehicle Primary | 347C00000X | W323-5165-9687 (IL) |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
About NPI 1386196780
Kim Whiteside's National Provider Identifier is 1386196780, issued on Nov 1, 2016. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Zion, IL. The record was last updated on Nov 1, 2016.