Individual
KENT S KAPITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
751 N RUTLEDGE ST, RM 0300, SPRINGFIELD, IL 62702-4968
(217) 545-5864
(217) 545-4734
Mailing address
PO BOX 19636, SPRINGFIELD, IL 62794-9636
(217) 545-0187
(217) 788-5543
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036112857
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112857
—
IL
Enumeration date
10/06/2005
Last updated
07/22/2010
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