Kenneth Max Eakin in Glen Carbon - Family Medicine
Kenneth Max Eakin - NPI 1174529556
Kenneth Max Eakin is a Family Medicine in Glen Carbon, Illinois. Kenneth Max Eakin practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kenneth Max Eakin is 1174529556. The last update date is 2008-04-30.
Kenneth Max Eakin's current location address is 3 Junction Dr W, Glen Carbon, Illinois. You can contact this provider via phone number 6182885088 and fax number 6182889153. The mailing address for Kenneth Max Eakin is 3 Junction Dr W, Glen Carbon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Max Eakin |
|---|---|
| Address | 3 Junction Dr W, Glen Carbon, Illinois |
| Phone Number | 6182885088 |
| Fax Number | 6182889153 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1174529556 |
|---|---|
| Provider Enumeration Date | 2005-06-22 |
| Last Updated Date | 2008-04-30 |
Provider Mailing Address Detail
| Address | 3 Junction Dr W |
|---|---|
| City | Glen Carbon |
| State | Illinois (IL) |
| Post Code | 6203429160 |
| Phone Number | 6182885088 |
| Fax Number | 6182889153 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36066196 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 80021116 | IL | RR MEDICARE | |
| 107335 | UNITED HEALTHCARE | ||
| 371205888 | TAX ID | ||
| 118802 | HEALTHLINK | ||
| N4882 | GROUP HEALTH PLAN | ||
| 36066196 | IL | -- | |
| 4622029 | IL | ADMINISTAR |
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth Max Eakin by the Centers for Medicare & Medicaid Services (CMS)?
The Kenneth Max Eakin has been assigned the NPI (National Provider Identifier) 1174529556. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Kenneth Max Eakin is physically located?
The Kenneth Max Eakin is physically situated at the following address: 3 Junction Dr W, Glen Carbon, IL, 6203429160.
What is Kenneth Max Eakin's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kenneth Max Eakin's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Kenneth Max Eakin receive the assignment of its 1174529556 from the Centers for Medicare & Medicaid Services?
The Kenneth Max Eakin was issued its 1174529556 by the Centers for Medicare & Medicaid Services on 2005-06-22.
When was the information related to Kenneth Max Eakin most recently updated or refreshed?
The details pertaining to the Kenneth Max Eakin, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-30.
NPI Number: 1518961176
Address: 341 Cool Springs Blvd Ste 400, Franklin, TN