Fraser, Kenneth

Fraser, Kenneth is an individual health care provider with primary practice located at 411 Hamilton Blvd 1824, Peoria IL 61602-1144. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Fraser, Kenneth can be contacted via phone (309) 494-9320.

Contact Information

Primary practice address
411 Hamilton Blvd 1824 Peoria IL 61602-1144
Phone: (309) 494-9320
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 088568 Illinois

Profile Details

NPI number 1194826115
LBN Legal business name Fraser, Kenneth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Oct 30th, 2007 - about 19 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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