Kendra S Grounds, RN
Individual provider Active NPI Registered Nurse · Mount Carmel, IL
NPI 1447537675 · NPPES record last updated Nov 16, 2011
Key facts
- NPI
- 1447537675
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 041298372 (IL)
- Practice address
- 130 W 7TH St
Mount Carmel, IL 62863-1439 - Phone
- (618) 263-3873
- Fax
- (618) 262-4215
- NPI assigned
- Nov 16, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041298372 | IL | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041298372 | IL | Yes |
Addresses
Primary practice location
130 W 7TH St
Mount Carmel, IL 62863-1439
Mailing address
14687 N 2000 Blvd
Allendale, IL 62410-2196
Phone (618) 299-2007
Other providers in Mount Carmel, IL
- Todd Anthony Gill
- Katie Glenn
- Julie Marie Goldman
- Madeline Goldman
- Casey Joe Griffith
- Ashley Groves
- Timothy J Guard II
- Emily A Hanneman
- William R Hardy
- Laura Harris
All providers in Mount Carmel, IL · Registered Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.