Provider Demographics
NPI:1497040083
Name:RAMETTA, KAYCE E (LPN)
Entity Type:Individual
Prefix:
First Name:KAYCE
Middle Name:E
Last Name:RAMETTA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:KAYCE
Other - Middle Name:E
Other - Last Name:ANTONINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:14410 ROUTE 37
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON CITY
Mailing Address - State:IL
Mailing Address - Zip Code:62951-3166
Mailing Address - Country:US
Mailing Address - Phone:618-983-6911
Mailing Address - Fax:618-983-1619
Practice Address - Street 1:14410 ROUTE 37
Practice Address - Street 2:
Practice Address - City:JOHNSTON CITY
Practice Address - State:IL
Practice Address - Zip Code:62951-3166
Practice Address - Country:US
Practice Address - Phone:618-983-6911
Practice Address - Fax:618-983-1619
Is Sole Proprietor?:No
Enumeration Date:2011-06-13
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL043078741164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse