Kayla Rushing, CST

Individual provider Active NPI Surgical Technologist · Goodfield, IL

NPI 1972960193 · NPPES record last updated Jan 19, 2016

Key facts

NPI
1972960193
Entity type
Individual (NPI type 1)
Primary specialty
Surgical Technologist 246ZS0410X
Practice address
101 S Birkey St
Goodfield, IL 61742-9631
Phone
(309) 339-0432
NPI assigned
Jan 19, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X Yes

Addresses

Primary practice location

101 S Birkey St
Goodfield, IL 61742-9631

Mailing address

101 S Birkey St
Goodfield, IL 61742-9631
Phone (309) 339-0432

Other providers in Goodfield, IL

All providers in Goodfield, IL · Surgical Technologist in Illinois

Sources for this page

Verify at the official NPI Registry.