Taulbee, Kent S.

Taulbee, Kent S. is an sole proprietor health care provider with primary practice located at 2418 E Lincoln St , Bloomington IL 61701-5915. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Procedural Dermatology is his primary health care specialty. Taulbee, Kent S. can be contacted via phone (309) 663-6386.

Contact Information

Primary practice address
2418 E Lincoln St Bloomington IL 61701-5915
Phone: (309) 663-6386
Fax: (309) 662-7622
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X Illinois
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X Illinois

Profile Details

NPI number 1366442444
LBN Legal business name Taulbee, Kent S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2005
Last updated Jan 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366442444 NPPES
Illinois Other 5700247 BLUE CROSS BLUE SHIELD

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