Search › Illinois › 207N00000X
Derek Kenneaster, MD
NPI 1457372724 · on the registry since 2006
Practice
- Address
- 220 N Park Ave
Suite 2
Herrin, IL 62948 - Phone
- (618) 942-3344
- Fax
- (618) 942-5045
- Organisation at this address
- Southern Illinois Dermatology, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 207N00000X
207N00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-03-23
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