KENNETH WAYNE BIRGE

BLOOMINGTON, IL
NPI1194896720
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036078947)
Enumeration Date2006-11-13
Last Update Date2024-05-08
Business Address
KENNETH WAYNE BIRGE MD
2502 E EMPIRE ST
BLOOMINGTON, IL 61704-3738
Phone number: 309-300-1031
Mailing Address
KENNETH WAYNE BIRGE MD
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3909
Phone number: 309-300-1031
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