Kenneth George Handy MD

NPI 1003927013 - Family Medicine - 207Q00000X

NPI Details
NPI 1003927013
Gender Male
Enumeration Date 08/31/2006
Last Updated 12/18/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
400 NORTH WALL ST
STE 504
KANKAKEE IL, 60901-2965, US
Phone (815) 932-4021
Fax (815) 932-7270
Business Location
400 NORTH WALL ST
STE 504
KANKAKEE IL, 60901-2965, US
Phone (815) 932-4021
Fax (815) 932-7270
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036068557
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According to our database, Dr. Kenneth George Handy MD NPI is 1003927013, taxonomy code is 207Q00000X and license number is 036068557, license state is located at Illinois. Kenneth George Handy MD physically located at 400 North Wall St, Kankakee IL, 60901-2965. NPI Number Kenneth George Handy MD has the Individual type.

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1003927013 NPI number is provided on an as is basis without warranty of any kind. 1003927013 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth George Handy MD are for informational purposes only.