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Kenneth Fraser
Diagnostic Radiology Physician in Peoria, Illinois
NPI 1194826115

Kenneth Fraser is a Diagnostic Radiology Physician based in Mequon, IL and is specialized in Diagnostic Radiology. Kenneth Fraser practices in Peoria, IL. The NPI Number for Kenneth Fraser is 1194826115 and holds a License No. 088568 (Illinois).

The current practice location address for Kenneth Fraser is 411 Hamilton Blvd, Peoria, IL and can be reached out via phone at 309-494-9320.

Location: 411 Hamilton Blvd, Peoria, IL, 53092-5763
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194826115
Provider Name
Kenneth Fraser
Credential
Provider Entity Type
Individual
Gender
Male
Address
411 Hamilton Blvd, Peoria, IL, 53092-5763
Phone Number
309-494-9320
Fax Number
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
411 Hamilton Blvd
City
Peoria
State
Illinois
Zip
61602-1144
Phone Number
309-494-9320
Fax Number
person
Provider Business Mailing Address Details
Address
411 Hamilton Blvd
City
Peoria
State
Illinois
Zip
61602-1144
Phone Number
309-494-9320
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
088568 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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