Individual
DR. KENNETH ROBERT CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
675 N SAINT CLAIR ST STE 21-100, CHICAGO, IL 60611-5970
(312) 695-6180
(312) 695-1106
Mailing address
675 N SAINT CLAIR ST STE 21-100, CHICAGO, IL 60611-5970
(312) 695-6180
(312) 695-1106
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036111759
IL
207RH0003X
Hematology & Oncology Physician
2008016004
MO
Other
Enumeration date
01/18/2008
Last updated
01/31/2023
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