NPI 1568262525
Charles Kinney
Practice location
- Address
- 112 W Park St APT 1e, Elwood, IL 60421-9628
- Phone
- (815) 540-2875
- Mailing address
- 3 Davison St APT 2, Joliet, IL 60433-1369
Registered specialties (3)
Chore Provider
Primary
Voluntary or Charitable Agency
Adult Care Home Facility
Registry record
- NPI
- 1568262525
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Mar 2025
- Record last updated
- 18 Mar 2025
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.