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Keith Driscoll, P.HD
NPI 1073899621 · on the registry since 2011 · sole proprietor
Practice
- Address
- 1207 S Elm St
Centralia, IL 62801 - Phone
- (618) 579-9072
Additional practice sites
- 904 E. Martin Luther King Drive, Centralia, IL
- 140 N Locust St, Centralia, IL
- 1207 S Elm St, Centralia, IL
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-11-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois