Individual provider · Type 1 NPI

Kimberly Lisa Joan Perry, LPN

Licensed Practical Nurse · Mount Vernon, IL

NPI number 1417190133 Active

Practice location

16342 N Il Hwy 37
Mount Vernon, IL 62864

Fax (618) 242-0958

Mailing address

PO Box 428
Mount Vernon, IL 62864-0054

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X043056318 (IL)
Case Manager/Care Coordinator 171M00000XNone listed

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1417190133

Kimberly Lisa Joan Perry, LPN's National Provider Identifier is 1417190133, issued on Apr 10, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Mount Vernon, IL. The record was last updated on Apr 10, 2009.