Individual
KEVIN WAYNE IMHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3631 S 6TH ST STE B, SPRINGFIELD, IL 62703-4777
(217) 391-5446
(217) 585-6720
Mailing address
3631 S 6TH ST STE B, SPRINGFIELD, IL 62703-4777
(217) 391-5446
(217) 585-6720
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-004900
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306811336
CORPORATION NPI
IL
Enumeration date
04/24/2007
Last updated
10/23/2007
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