Individual
DR. JOSHUA BRADLEY KENTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4909 N. GLEN PARK PLACE, PEORIA, IL 61614-4676
(309) 674-7546
(309) 691-9286
Mailing address
4909 N. GLEN PARK PLACE, PEORIA, IL 61614-4676
(309) 674-7546
(309) 282-2075
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036.142442
IL
207ND0101X
MOHS-Micrographic Surgery Physician
036.142442
IL
207NS0135X
Procedural Dermatology Physician
036.142442
IL
Other
Enumeration date
07/26/2007
Last updated
07/12/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us