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Brandon Kenworthy

NPI 1477012599 · on the registry since 2019

Practice

Address
118 S Vine St
Arthur, IL 61911
Phone
(217) 543-2913
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-03-18

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