KENNETH CARPENTER

BLOOMINGTON, IL
NPI1689723918
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IL  036116924)
Enumeration Date2007-01-09
Last Update Date2007-09-04
Business Address
-- KENNETH CARPENTER MD
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701-4364
Phone number: 309-662-3311
Mailing Address
-- KENNETH CARPENTER MD
PO BOX 758682
BALTIMORE, MD 21275-0001
Phone number:
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