Derek G Kenneaster, MD

NPI #1457372724 in Herrin, Illinois

Provider Information

NPI Number: 1457372724
Entity Type: Individual
Name: Derek G Kenneaster, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: MD
Enumeration Date: Jul 22, 2006
Last Updated: Mar 23, 2011

Practice Location

Address: 220 N PARK AVE
Address 2: SUITE 2
City: Herrin
State: Illinois
ZIP Code: 62948-3150
Phone: (618) 942-3344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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Organizations

Provider Name	Specialty	City
Southern Illinois Dermatology, PC	Dermatology	Herrin	AI Deep Dive

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