Individual provider · Type 1 NPI
Kenneth J. Grayer Jr.
Driver · Libertyville, IL
NPI number
1740884279
Active
Practice location
520 E Lincoln Ave
Libertyville, IL 60048-2923
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
2 other providers at this address
About NPI 1740884279
Kenneth J. Grayer Jr.'s National Provider Identifier is 1740884279, issued on Nov 25, 2020. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Libertyville, IL. The record was last updated on Aug 16, 2021.