Jolene A Kiser

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149005712 Issued in IL

Practice address

1707 N 12TH St
Quincy, IL 62301-1355

Phone

(217) 222-8641

Fax

(217) 222-1375

NPI assigned

Sep 12, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1679677272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 HARRISON ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623016217",
            "telephone_number": "217-653-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 N 12TH ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623011355",
            "telephone_number": "217-222-8641",
            "fax_number": "217-222-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISER",
        "first_name": "JOLENE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149005712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey David King, DC
• Katelyn L Kinscherf, OT
• Zachary M. Kinscherf, PT
• Kirk G. Gribler, D.C. Inc.
• Michael E Kirkpatrick, M.D.
• Mersadi L Kite, LSW
• Robert C. Klee, PT
• Tanner Kline
• Katie Elizabeth Klotz, MED, LAT, ATC
• Glenda Knight, RPH

• Clinical Social Worker in Quincy, IL
• Providers in Quincy, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.