Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Keith Vineyard

Individual provider Licensed Practical Nurse · NPI 1558073189

Charles Keith Vineyard is a Licensed Practical Nurse in Harrisburg, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2022

Practice location Address checks out

608 Rollie Moore Dr
Harrisburg, IL 62946-2351
Phone: (618) 252-6150
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 043072027 (IL)

Record details

NPI number1558073189
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 14, 2022
Last updated in NPPESDecember 14, 2022
Certification dateDecember 14, 2022
Mailing address608 Rollie Moore Dr, Harrisburg, IL 62946-2351

Other providers in Harrisburg