Andre, Kenneth William
Andre, Kenneth William is an sole proprietor health care provider with primary practice located at 615 Valley View Dr Suite 102, Moline IL 61265-6150. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Andre, Kenneth William can be contacted via phone (309) 762-1072.Contact Information
Primary practice address
615 Valley View Dr Suite 102
Moline IL 61265-6150
Phone: (309) 762-1072
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036-053216 | Illinois |
Profile Details
| NPI number | 1831358712 |
|---|---|
| LBN Legal business name | Andre, Kenneth William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2008 |
| Last updated | Jun 5th, 2008 - about 17 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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