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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KERRY P PANOZZO, MD

Active Sole Proprietor

KERRY P PANOZZO, MD is a Pain Medicine (Anesthesiology) healthcare provider located in ROCK ISLAND, Illinois. NPI 1225017957 is currently active in the NPPES registry. Verify at CMS.

Pain Medicine (Anesthesiology) · ROCK ISLAND, IL

Registration Details

NPI Number
1225017957
Provider Type
Individual
Gender
Male
NPI Issued
Jan 11, 2006 (20.569010250806 yrs)
Last Updated
May 29, 2015
Licenses
036090677 (IL)
036090677 (IL)
Sole Proprietor
Yes

Practice Information

Address
4110 BLACKHAWK RD STE 2
ROCK ISLAND, IL, 612017039
Browse IL providers · Browse ZIP 61201
Phone
3094287055
Fax
3092650118
Primary Specialty
Pain Medicine (Anesthesiology)
207LP2900X
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.