Individual
DR. KENNETH W SCRIBNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
241 W WEAVER RD, #190, FORSYTH, IL 62535-9799
(217) 876-5240
(217) 876-5245
Mailing address
241 W WEAVER RD, #190, FORSYTH, IL 62535-9799
(217) 876-5240
(217) 876-5245
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-074311
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005800282
BCBS
IL
05
—
036074311
—
IL
Enumeration date
05/04/2006
Last updated
02/27/2012
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