Individual provider · Type 1 NPI

Keith E. Liptock

Electroneurodiagnostic Specialist/Technologist · Normal, IL

NPI number 1184334906 Active

Practice location

1304 Franklin Ave
Normal, IL 61761-3558

Mailing address

1604 Visa Dr Ste 1
Normal, IL 61761-2195

Other practice locations

  • 2200 E Washington St, Bloomington, IL 61701-4364 · (309) 662-3311

Specialties and licenses

TaxonomyCodeLicense
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600XNone listed

Electroneurodiagnostic Specialist/Technologist: Definition to come...

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About NPI 1184334906

Keith E. Liptock's National Provider Identifier is 1184334906, issued on Dec 2, 2022. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Normal, IL. The record was last updated on Dec 2, 2022.