Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH FRASER
ActiveKENNETH FRASER is a Diagnostic Radiology healthcare provider located in PEORIA, Illinois. NPI 1194826115 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · PEORIA, IL
Registration Details
- NPI Number
- 1194826115
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 25, 2006 (19.872552165568 yrs)
- Last Updated
- Oct 30, 2007
- License
-
088568 (IL)
Practice Information
- Address
-
411 HAMILTON BLVD1824PEORIA, IL, 616021144Browse IL providers · Browse ZIP 61602
- Phone
- 3094949320
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
Other Diagnostic Radiology Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| DR. CLARISSA RHODE | MD | 1326026030 |
| KATHLEEN JOHNSON | — | 1831177559 |
| STEVEN ROAT | — | 1215915962 |
| DR. GEORGE GENTRY | MD | 1225016975 |
| DR. ERIC A VENS | M.D. | 1558329706 |
| DR. WAYNE KENNETH MANNESS | MD | 1710936497 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.