Individual
MR. SIDNEY E KESSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RSA, CSFA
Contact information
Practice address
1604 VISA DR STE 1, NORMAL, IL 61761-2195
(309) 846-4716
(309) 454-7348
Mailing address
1604 VISA DR STE 1, NORMAL, IL 61761-2195
(309) 846-4716
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
237000110
IL
246ZC0007X
Surgical Assistant
Primary
237000110
IL
Other
Enumeration date
04/17/2012
Last updated
05/29/2020
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