Munnerlyn, Kenneth Arcedrick
Munnerlyn, Kenneth Arcedrick is an individual health care provider with primary practice located at 800 W Central Rd , Arlington Heights IL 60005-2349. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Munnerlyn, Kenneth Arcedrick can be contacted via phone (847) 618-5671.Contact Information
Primary practice address
800 W Central Rd
Arlington Heights IL 60005-2349
Phone: (847) 618-5671
Fax: (847) 618-5669
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 01076175A | Indiana |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036133586 | Illinois |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 056609 | Connecticut |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 80701 | Georgia |
Profile Details
| NPI number | 1316172513 |
|---|---|
| LBN Legal business name | Munnerlyn, Kenneth Arcedrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2009 |
| Last updated | Nov 9th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316172513 | NPPES |
| Wisconsin | MEDICAID | 1316172513 |
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