KELVIN EARL WYNN

PEORIA, IL
NPI1104928639
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: NC  34210)
Enumeration Date2006-09-04
Last Update Date2017-11-01
Business Address
Dr. KELVIN EARL WYNN MD
815 MAIN ST STE A
PEORIA, IL 61602-1080
Phone number: 309-672-4977
Mailing Address
Dr. KELVIN EARL WYNN MD
815 MAIN ST STE A
PEORIA, IL 61602-1080
Phone number: 309-672-4977