Individual
MR. KENNETH J. SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
14410 ROUTE 37, JOHNSTON CITY, IL 62951-3166
(618) 983-6911
Mailing address
PO BOX 155, CHRISTOPHER, IL 62822-0155
(618) 724-2436
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043103103
IL
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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