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:
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Health care specialties

SpecialtyCodeLicense #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 18 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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