Individual
DR. KATHLEEN S RENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
4201 WILLIAMSON PL, MOUNT VERNON, IL 62864-6740
(618) 244-5120
Mailing address
4201 WILLIAMSON PL, MOUNT VERNON, IL 62864-6740
(618) 244-5120
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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