Jennie Marie Killam
Developmental Therapist · New Berlin, IL
NPI number
1043475122
Practice location
8801 Werner RdNew Berlin, IL 62670-6805
- Phone
- (217) 971-1882
NPI record
- NPI
- 1043475122
- Entity type
- Individual (Type 1)
- Enumeration date
- July 28, 2008
- Last updated
- September 11, 2024
- Certified
- September 11, 2024
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Developmental Therapist Primary | 222Q00000X |
— | — |
Mailing address
31281 Killam Rd.Girard, IL 62640-8629
About Jennie Killam
Jennie Marie Killam is a healthcare provider registered in the NPI registry with the primary taxonomy Developmental Therapist (code 222Q00000X). The practice location is 8801 Werner Rd, New Berlin, IL 62670-6805. The NPI number 1043475122 was assigned on July 28, 2008 and the record was last updated on September 11, 2024.
Frequently asked questions
What is the NPI number of Jennie Marie Killam?
The NPI number is 1043475122.
What is the phone number of Jennie Killam?
The phone number listed for the practice location is (217) 971-1882.
Where is Jennie Killam located?
8801 Werner Rd, New Berlin, IL 62670-6805.
What is the taxonomy code for Jennie Killam?
The primary taxonomy code is 222Q00000X – Developmental Therapist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.