Search › Illinois › 367A00000X
Kacey Panyik, APN CNM
NPI 1912366436 · on the registry since 2016
Practice
- Address
- 502 W State St
O Fallon, IL 62269 - Phone
- (618) 417-7148
- Fax
- (904) 615-8373
- Organisation at this address
- Waning Moon Llc
Harmony Health & Home BirthInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 367A00000X
367A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-03
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