Individual
DR. KEVIN BYRON MCNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2801 MANSION RD, SPRINGFIELD, IL 62711-6724
(217) 483-7177
Mailing address
3212 FORSYTH DR, SPRINGFIELD, IL 62704-5520
(708) 341-8005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019035077
IL
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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