Kiskaddon, Robert T

Kiskaddon, Robert T is an individual health care provider with primary practice located at 611 W Park St , Urbana IL 61801-2500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kiskaddon, Robert T can be contacted via phone (217) 383-3319.

Contact Information

Primary practice address
611 W Park St Urbana IL 61801-2500
Phone: (217) 383-3319
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X Illinois

Profile Details

NPI number 1366408684
LBN Legal business name Kiskaddon, Robert T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jan 18th, 2008 - about 16 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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