Kelly Sue Berkemeier, RN
Individual provider Active NPI Emergency Registered Nurse · Marion, IL
NPI 1871291369 · NPPES record last updated Feb 23, 2023
Key facts
- NPI
- 1871291369
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Registered Nurse 163WE0003X
- License
- 041325238 (IL)
- Practice address
- 2401 W Main St
Marion, IL 62959-1188 - Phone
- (618) 997-5311
- NPI assigned
- Feb 23, 2023
- 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 |
|---|---|---|---|
| 041325238 | IL | MD | Emergency Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 041325238 | IL | Yes |
Addresses
Primary practice location
2401 W Main St
Marion, IL 62959-1188
Mailing address
513 N 10TH St
Benton, IL 62812-2955
Phone (618) 663-5320
Other providers in Marion, IL
- Sue Bennett
- Scott Norman Benson
- Ashli Benton
- Melisa Lee Berendson
- Megan Berkel
- Cameron Watson Berrong
- Julie Allis Berry
- Christina Bethel
- Elisabeth Gail Beyer-Nolen
- Sadashivaiah Bhaskar
All providers in Marion, IL · Emergency 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 Feb 23, 2023. 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.