Individual
KENNETH H. INOUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1505 EASTLAND DR, BLOOMINGTON, IL 61701-3534
(309) 661-2368
(309) 662-9709
Mailing address
1505 EASTLAND DR, BLOOMINGTON, IL 61701-3534
(309) 661-2368
(309) 662-9709
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-091177
IL
Other
Enumeration date
09/29/2006
Last updated
03/07/2014
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