Individual
KAMAL KISHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3602 MARQUETTE RD, PERU, IL 61354-1450
(815) 223-7400
Mailing address
PO BOX 36, PEORIA, IL 61650-0036
(815) 223-7400
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036-100858
IL
Other
Enumeration date
04/04/2007
Last updated
06/02/2014
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