Lustenberger, Kellie J
Lustenberger, Kellie J is an individual health care provider with primary practice located at 305 W. Jackson, Suite 100 New Horizons Obstetrics & Gynecology, Carbondale IL 62901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lustenberger, Kellie J can be contacted via phone (618) 457-0404.Contact Information
Primary practice address
305 W. Jackson, Suite 100 New Horizons Obstetrics & Gynecology
Carbondale IL 62901
Phone: (618) 457-0404
Fax: (618) 457-0440
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209006728 | Illinois |
Profile Details
NPI number | 1295923779 |
---|---|
LBN Legal business name | Lustenberger, Kellie J |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 9th, 2007 |
Last updated | May 14th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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