KEELY REECE THEOBALD B.S. NPI 1326663683

NPI Information

NPI: 1326663683
Provider Name: KEELY REECE THEOBALD, B.S.
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
2086 7TH STREET
CHARLESTON, IL
ZIP 61920
Phone: (217) 581-2712
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Keely Reece Theobald, B.S. is a student in an organized health care education training program in Charleston, IL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Keely Reece Theobald, B.S. NPI is 1326663683. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2086 7TH STREET
CHARLESTON, IL
ZIP 61920
Phone: (217) 581-2712

The enumeration date for this NPI number is 6/12/2020 and was last updated on 6/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program			ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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