Individual
JACOB KIERBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1216 HUMMINGBIRD CT, CARTERVILLE, IL 62918-1648
(217) 855-1760
Mailing address
1216 HUMMINGBIRD CT, CARTERVILLE, IL 62918-1648
(217) 855-1760
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.113482
IL
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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