Individual provider · Type 1 NPI

Charles Keith Vineyard

Licensed Practical Nurse · Harrisburg, IL

NPI number 1558073189 Active

Practice location

608 Rollie Moore Dr
Harrisburg, IL 62946-2351

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X043072027 (IL)

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 1558073189

Charles Keith Vineyard's National Provider Identifier is 1558073189, issued on Dec 14, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Harrisburg, IL. The record was last updated on Dec 14, 2022.