Kelly Neirynck, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

043.103031 Issued in IL

Practice address

420 E Mill St
Kewanee, IL 61443

Phone

(309) 525-3598

NPI assigned

Jan 10, 2017

Last updated

Jan 10, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1013453471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E MILL ST",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614433547",
            "telephone_number": "309-525-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E MILL ST",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "61443",
            "telephone_number": "309-525-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIRYNCK",
        "first_name": "KELLY",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043.103031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Moe
• Amy Elizabeth Morgan, ATC/L, CSCS
• Jeanea Lynn Morris, FNP
• Kathleen Morse, LPC
• Marisa Murillo
• Ashley A. O'Meara, M.S., CCC-SLP
• Karol Ruth O'Neill, FNP
• Jennifer Oetzel
• Monday Ogbeibor, NURSE PRACTITIONER
• Elizabeth Oliger, MS, CCC-SLP

• Licensed Practical Nurse in Kewanee, IL
• Providers in Kewanee, IL by specialty
• Licensed Practical Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.