Search › Illinois › 235Z00000X
Kierstyn Green
NPI 1558883215 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2803 S Banker St
Effingham, IL 62401 - Phone
- (217) 540-1500
- Organisation at this address
- Effingham Community Unit School Dist 40
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 634 N Main St Ste 3, O Fallon, IL
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 235Z00000X
- Licence states on file
- MO, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois