KEVIN LISKEY

ROCKFORD, IL
NPI1578182374
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085.008159)
Enumeration Date2020-04-11
Last Update Date2022-12-22
Business Address
KEVIN LISKEY PA-C
1401 E STATE ST
ROCKFORD, IL 61104-2315
Phone number: 779-696-4400
Mailing Address
KEVIN LISKEY PA-C
1175 SHINGLE OAK LN
ROCKFORD, IL 61107-2836
Phone number: 815-540-2832
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