Kennth Alan Hodel
Gynecologic Oncologist
6915 N Knoxville Ave Suite 1
Peoria
, Illinois 61614-2851
Kennth Alan Hodel
Gynecologic Oncologist
6915 N Knoxville Ave Suite 1
Peoria
, Illinois 61614-2851
(309) 683-8911
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About
Features
Specialties
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Kennth Alan Hodel
- 6915 N Knoxville Ave Suite 1
- Peoria, IL
- Zip : 61614
- Fax : (309) 683-8911
- Phone : (309) 683-8910
Second Address
- Kennth Alan Hodel
- 6915 N Knoxville Ave Suite 1
- Peoria, IL
- Zip : 61614-2851
- Fax : (309) 683-8911
- Phone : (309) 683-8910
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0201X | Gynecologic Oncologist | IL |
National Provider Identifier
| NPI | 1134197833 |
|---|---|
| Provider Name | Kennth Alan Hodel |
| First Address | Peoria, IL 61614 |
| Second Address | Peoria, IL 61614-2851 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/03/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A24511 | (02) | |
| A24511 | (05) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.