Individual
MR. KENT A HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
607 W OAK ST, WEST FRANKFORT, IL 62896-2537
(618) 937-3509
(618) 937-3500
Mailing address
607 W OAK ST, WEST FRANKFORT, IL 62896-2537
(618) 937-3509
(618) 937-3500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038006817
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038006817
—
IL
01
—
1517948
FUNDS
IL
01
—
350038040
RR MEDICARE
IL
Enumeration date
09/29/2006
Last updated
01/07/2022
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