Organization · Type 2 NPI

Ken Hodel M D Gynonc S C

Specialist · Peoria, IL

NPI number 1366548810 Active

Practice location

6915 N Knoxville Ave, Ste 1
Peoria, IL 61614-2850

Call (309) 683-8910 Map

Fax (309) 683-8911

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1366548810

Ken Hodel M D Gynonc S C's National Provider Identifier is 1366548810, issued on Sep 15, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Peoria, IL. The record was last updated on Feb 7, 2008.