Carson, Kenneth Robert

Carson, Kenneth Robert is an individual health care provider with primary practice located at 675 N Saint Clair St Ste 21-100 , Chicago IL 60611-5970. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Carson, Kenneth Robert can be contacted via phone (312) 695-6180.

Contact Information

Primary practice address
675 N Saint Clair St Ste 21-100 Chicago IL 60611-5970
Phone: (312) 695-6180
Fax: (312) 695-1106
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 2008016004 Missouri
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 036111759 Illinois

Profile Details

NPI number 1720264898
LBN Legal business name Carson, Kenneth Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2008
Last updated Jan 31st, 2023 - about 2 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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