Individual
MR. KENNETH E MEISNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
10 DOCTORS PARK, GIBSON CITY, IL 60936-2000
(217) 784-2650
Mailing address
1103 N 2000 EAST RD, HEYWORTH, IL 61745-9093
(309) 838-3154
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
11/18/2005
Last updated
07/08/2007
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