NPI 1073068375

Kilee Kenerson

Practitioner Nurse's Aide Rockford, IL

Practice location

Address: 420 N Burbank Ave, Rockford, IL 61101-5432
Phone: (779) 210-4824

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X

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Registry record

NPI: 1073068375
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Aug 2016
Record last updated: 17 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.