Individual provider · Type 1 NPI

Joshua Bradley Kentosh, DO

Dermatology Physician · Peoria, IL

NPI number 1902096928 Active

Practice location

4909 N. Glen Park Place
Peoria, IL 61614-4676

Fax (309) 691-9286

Other practice locations

  • 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 · (309) 674-7546

Specialties and licenses

TaxonomyCodeLicense
MOHS-Micrographic Surgery Physician 207ND0101X036.142442 (IL)
Procedural Dermatology Physician 207NS0135X036.142442 (IL)
Dermatology Physician Primary 207N00000X036.142442 (IL)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1902096928

Joshua Bradley Kentosh, DO's National Provider Identifier is 1902096928, issued on Jul 26, 2007. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Peoria, IL. The record was last updated on Jul 12, 2018.