Charles Keith Vineyard
NPI #1558073189 in Harrisburg, Illinois
Provider Information
- NPI Number
- 1558073189
- Entity Type
- Individual
- Name
- Charles Keith Vineyard
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Dec 14, 2022
- Last Updated
- Dec 14, 2022
Practice Location
- Address
- 608 ROLLIE MOORE DR
- City
- Harrisburg
- State
- Illinois
- ZIP Code
- 62946-2351
- Phone
- (618) 252-6150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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