KENNETH FRASER
Radiology - Diagnostic Radiology
Active
Individual
NPI: 1194826115
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Radiology - Diagnostic Radiology | 2085R0202X | Yes | 088568 (IL) |
Frequently Asked Questions
NPI 1194826115 is the National Provider Identifier for KENNETH FRASER, a Radiology - Diagnostic Radiology provider located in Peoria, IL. This NPI was enumerated on September 25, 2006.
KENNETH FRASER practices at 411 HAMILTON BLVD, 1824, Peoria, IL 61602.
Quick Facts
- NPI
- 1194826115
- Type
- Individual
- Enumerated
- Sep 25, 2006
- Last Updated
- Oct 30, 2007
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