Individual
KENNETH KEIBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1717 RAND RD, DES PLAINES, IL 60016-3509
(847) 376-2149
Mailing address
1717 RAND RD, DES PLAINES, IL 60016-3509
(847) 376-2149
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/31/2016
Last updated
07/06/2016
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