Hurst, Keith

Hurst, Keith is an individual health care provider with primary practice located at 9 Park Pl , Swansea IL 62226-2967. He recently has only one registered license in Nursing Service Providers / Registered Nurse First Assistant, which is considered as his primary health care specialty. Hurst, Keith can be contacted via phone (618) 233-5722.

Contact Information

Primary practice address
9 Park Pl Swansea IL 62226-2967
Phone: (618) 233-5722
Fax: (618) 233-7069
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X 041283029 Illinois

Profile Details

NPI number 1962730341
LBN Legal business name Hurst, Keith
Credentials RNFA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2009
Last updated Nov 24th, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962730341 NPPES
Illinois Other 041283029 ILLINOIS STATE LICENSE
Illinois Other H62351770285 ILLINOIS STATE LICENSE

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