NPI 1194079517

Kenneth J. Sutton, LPN

Practitioner Licensed Practical Nurse Johnston City, IL

Practice location

Address: 14410 Route 37, Johnston City, IL 62951-3166
Phone: (618) 983-6911
Mailing address: PO Box 155, Christopher, IL 62822-0155

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 043103103 (IL)

Other Licensed Practical Nurse providers in Illinois →

Registry record

NPI: 1194079517
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Nov 2012
Record last updated: 7 Nov 2012

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.