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1134147200
KENNETH J DOLS
CHAMPAIGN, IL
NPI
1134147200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: IL 036067713)
Enumeration Date
2006-07-17
Last Update Date
2012-06-05
Business Address
-- KENNETH J DOLS MD
1802 S. MATTIS AVENUE ORTHOPEDICS
CHAMPAIGN, IL 61821
Phone number: 217-383-7676
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Mailing Address
-- KENNETH J DOLS MD
P.O. BOX 6002
URBANA, IL 61803-6002
Phone number: 217-326-8300
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