Derek G Kenneaster is a Dermatology Physician based in Herrin, IL. Derek G Kenneaster practices in Herrin, IL and has the professional credentials of MD. The NPI Number for Derek G Kenneaster is 1457372724 and holds a License No. ME94334 (Illinois).
The current practice location address for Derek G Kenneaster is 220 N Park Ave, Herrin, IL and can be reached out via phone at 618-942-3344 and via fax at 618-942-5045.
Identifier | Type | State | Issuer |
---|---|---|---|
036093018 | 05 | IL | |
10007459 | 01 | BCBS | |
65958 | 01 | MEDICARE PTAN | |
31057 | 01 | FL | BCBS |
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