Individual
KENNETH VOLLINTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 HILTON AVENUE, BOX52, PANAMA, IL 62077
(217) 414-9126
Mailing address
315 HILTON AVENUE, BOX52, PANAMA, IL 62077
(217) 414-9126
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
IL
Other
Enumeration date
09/29/2015
Last updated
07/21/2022
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