Individual
KENNETH DALE ALBERT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HEARING AID DISPENSE
Contact information
Practice address
501 W JACKSON ST, MACOMB, IL 61455-2097
(309) 833-5202
Mailing address
501 W JACKSON ST, MACOMB, IL 61455-2097
(309) 833-5202
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2822
IL
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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