KENNETH MARCUS EVANS

CHAMPAIGN, IL
NPI1326720202
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-08-01
Last Update Date2024-12-11
Business Address
KENNETH MARCUS EVANS PA
3101 FIELDS SOUTH DR
CHAMPAIGN, IL 61822-3743
Phone number: 217-366-6162
Mailing Address
KENNETH MARCUS EVANS PA
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3981
Phone number: 217-366-6162
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