| Charles Keith Vineyard, | |
|
608 Rollie Moore Dr, Harrisburg, IL 62946-2351 | |
| (618) 252-6150 | |
| Not Available |
| Full Name | Charles Keith Vineyard |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 608 Rollie Moore Dr, Harrisburg, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558073189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 043072027 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Keith Vineyard, 608 Rollie Moore Dr, Harrisburg, IL 62946-2351 Ph: (618) 252-6150 | Charles Keith Vineyard, 608 Rollie Moore Dr, Harrisburg, IL 62946-2351 Ph: (618) 252-6150 |
Alicia Crisenbery, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 421 W Church St, Harrisburg, IL 62946 Phone: 618-638-4178 | |
Mrs. Christina Rae Davis, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 608 Rollie Moore Dr, Harrisburg, IL 62946 Phone: 618-252-6150 Fax: 618-252-6595 | |
Mary Lynn Lasseter, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 322 East Lincoln Street, Harrisburg, IL 62946 Phone: 618-926-0991 |