Individual
DR. KEITH T HEDRICK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
615 N BROAD ST, CARLINVILLE, IL 62626-1020
(217) 854-3173
(217) 854-4123
Mailing address
615 N BROAD ST, CARLINVILLE, IL 62626-1020
(217) 854-3173
(217) 854-4123
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
06/30/2005
Last updated
07/08/2007
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