Kathleen Ann Lindquist, LPN
Individual provider Active NPI Licensed Practical Nurse · Kewanee, IL
NPI 1619190048 · NPPES record last updated Apr 14, 2009
Key facts
- NPI
- 1619190048
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 043-072825 (IL)
- Practice address
- 137 E College St
Kewanee, IL 61443-3703 - Phone
- (309) 852-4331
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043-072825 | IL | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeway, Inc | Past | Accepting new patients | |
| Bridgeway, Inc | Case Manager/Care Coordinator | Past | Accepting new patients |
| Bridgeway, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 043-072825 | IL | Yes |
| Case Manager/Care Coordinator | 171M00000X | 043-072825 | IL |
Addresses
Primary practice location
137 E College St
Kewanee, IL 61443-3703
Mailing address
12 SW 4TH St
Galva, IL 61434-1741
Phone (309) 932-2185
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370984175 | Other | IL | BWAY INC FEIN |
| 043-072825 | Other | IL | DPR LICENSE |
Other providers in Kewanee, IL
- Amanda K Kocis
- Tauni L Koning
- Kenneth Robert Krueger
- Zahra Lalwani Lasee
- James S Lindbom
- Lori L Lubbs
- Rhonda S Manthe
- Stephen Ray Martell
- Melisa S McClintic
- Victor Javier Medina
All providers in Kewanee, IL · Licensed Practical 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 Apr 14, 2009. 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.