Individual
KENTON W SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041393491
IL
363LF0000X
Family Nurse Practitioner
Primary
209015983
IL
Other
Enumeration date
03/29/2017
Last updated
03/27/2026
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