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Individual
MR. KENT A HERRON
Active
Individual
MR. KENT A HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038006817
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038006817
—
IL
01
—
1517948
FUNDS
IL
01
—
350038040
RR MEDICARE
IL
Enumeration date
09/29/2006
Last updated
01/07/2022
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