Kenneth Kraudel in Springfield - Diagnostic Radiology

Kenneth Kraudel - NPI 1497702849

Kenneth Kraudel is a Diagnostic Radiology in Springfield, Illinois. Kenneth Kraudel practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Kenneth Kraudel is 1497702849. The last update date is 2015-08-04.

Kenneth Kraudel's current location address is 2040 W Iles Ave, Springfield, Illinois. You can contact this provider via phone number 2177890668. The mailing address for Kenneth Kraudel is 2040 W Iles Ave, Springfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Kraudel
Address 2040 W Iles Ave, Springfield, Illinois
Phone Number 2177890668
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1497702849
Provider Enumeration Date 2006-05-30
Last Updated Date 2015-08-04

Provider Mailing Address Detail

Address 2040 W Iles Ave
City Springfield
State Illinois (IL)
Post Code 627044183
Phone Number 2177890668
Fax Number

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 36062943
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36062943 IL --

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FAQs about Kenneth Kraudel

What is the unique identifier code issued to Kenneth Kraudel by the Centers for Medicare & Medicaid Services (CMS)?

The Kenneth Kraudel has been assigned the NPI (National Provider Identifier) 1497702849. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Kenneth Kraudel's facilities are situated?

The facilities of Kenneth Kraudel are physically located at the following address: 2040 W Iles Ave, Springfield, IL, 627044183.

What is Kenneth Kraudel's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kenneth Kraudel's area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.

When was the Kenneth Kraudel's 1497702849 issued?

The Kenneth Kraudel's 1497702849 was issued on 2006-05-30.

As of what date were the details related to Kenneth Kraudel most recently updated or revised?

The information pertaining to Kenneth Kraudel, including its address, specialty, and other relevant details, was last updated or revised on 2015-08-04.

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