MR. Kenneth C Wolford, CSA

NPI #1114996287 in Hanover Park, Illinois

Provider Information

NPI Number: 1114996287
Entity Type: Individual
Name: MR. Kenneth C Wolford, CSA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: CSA
Enumeration Date: Mar 14, 2006
Last Updated: Feb 6, 2009

Practice Location

Address: 7078 WEST AVE
City: Hanover Park
State: Illinois
ZIP Code: 60133
Phone: (630) 378-1225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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