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Individual

DR. KENNETH ARCEDRICK MUNNERLYN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2623 N CLARK ST, CHICAGO, IL 60614-1524
(312) 722-6977
Mailing address
2623 N CLARK ST, CHICAGO, IL 60614-1524
(312) 722-6977

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01076175A
IN
2084N0400X
Neurology Physician
036133586
IL
2084N0400X
Neurology Physician
Primary
056609
CT
2084N0400X
Neurology Physician
54964
AZ
2084N0400X
Neurology Physician
80701
GA
2084N0400X
Neurology Physician
ME164696
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
127575800
FL
05
1316172513
WI
05
300019684
IN
Enumeration date
05/18/2009
Last updated
01/23/2026
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