Meiss, Kenneth Delaine

Meiss, Kenneth Delaine is an individual health care provider with primary practice located at 910 W Glen Ave , Peoria IL 61614-4879. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Meiss, Kenneth Delaine can be contacted via phone (309) 682-9802.

Contact Information

Primary practice address
910 W Glen Ave Peoria IL 61614-4879
Fax: (309) 682-9809
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019-024524 Illinois

Profile Details

NPI number 1336294537
LBN Legal business name Meiss, Kenneth Delaine
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Feb 20th, 2015 - about 10 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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