Individual
MR. LE KENOBBIE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
304 N PARK FOREST DR, ROBINSON, IL 62454-1248
(618) 544-8851
Mailing address
304 N PARK FOREST DR, ROBINSON, IL 62454-1248
(618) 544-8851
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
01/29/2006
Last updated
07/08/2007
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