KENNETH I BLUESTONE

BELLEVILLE, IL
NPI1326045568
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: IL  036138832)
Enumeration Date2005-07-01
Last Update Date2021-03-15
Business Address
KENNETH I BLUESTONE M.D.
4500 MEMORIAL DR
BELLEVILLE, IL 62226-5360
Phone number: 618-257-4376
Mailing Address
KENNETH I BLUESTONE M.D.
PO BOX 23229
BELLEVILLE, IL 62223-0229
Phone number: 618-257-5050
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