Neill, Kevin Gregory

Neill, Kevin Gregory is an individual health care provider with primary practice located at 405 W Jackson St , Carbondale IL 62901-1462. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Cytopathology is his primary health care specialty. Neill, Kevin Gregory can be contacted via phone (618) 549-0721.

Contact Information

Primary practice address
405 W Jackson St Carbondale IL 62901-1462
Phone: (618) 549-0721
Fax: (618) 351-4968
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 01073858A Indiana
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X ME 123583 Florida
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 036140523 Illinois
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 036140523 Illinois

Profile Details

NPI number 1972821734
LBN Legal business name Neill, Kevin Gregory
Credentials M.D., M.P.H.
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2010
Last updated Sep 27th, 2021 - about 5 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 1972821734 NPPES
Illinois Other 214881 MEDICARE GROUP

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