Kathy Kingsley, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041283149 Issued in IL

Practice address

904 E. Martin Luther King Jr. Dr.
Centralia, IL 62801-3058

Phone

(618) 533-1391

Fax

(618) 533-0012

NPI assigned

Feb 28, 2013

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1831439710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 E. MARTIN LUTHER KING JR. DR.",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013058",
            "telephone_number": "618-533-1391",
            "fax_number": "618-533-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 E. MARTIN LUTHER KING JR. DR.",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013058",
            "telephone_number": "618-533-1391",
            "fax_number": "618-533-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSLEY",
        "first_name": "KATHY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041283149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlie Michelle Kasten
• Timothy Scott Keller, BC - HIS
• Kamran Amir Khan, M.D.
• Naeem Anwar Khan, MD
• Robert J Killian, MD
• Caitlin Kirgan
• Madison Klanke
• Corinne Kleiboeker
• Blake Edward Knapp, PHARM. D.
• Emily Kracht

• Registered Nurse in Centralia, IL
• Providers in Centralia, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.