Arnett, Kenneth

Arnett, Kenneth is an individual health care provider with primary practice located at 200 E Pennsylvania Ave , Peoria IL 61603-3089. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Allergy is his primary health care specialty. Arnett, Kenneth can be contacted via phone (309) 655-4184.

Contact Information

Primary practice address
200 E Pennsylvania Ave Peoria IL 61603-3089
Phone: (309) 655-4184
Fax: (309) 624-8876
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 036-064666 Illinois
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036-064666 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-064666 Illinois

Profile Details

NPI number 1437249760
LBN Legal business name Arnett, Kenneth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jan 10th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437249760 NPPES
Illinois MEDICAID 036064666

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