Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOSHUA BRADLEY KENTOSH, D.O.
Active Sole ProprietorDR. JOSHUA BRADLEY KENTOSH, D.O. is a Dermatology healthcare provider located in PEORIA, Illinois. NPI 1902096928 is currently active in the NPPES registry. Verify at CMS.
Dermatology · PEORIA, IL
Registration Details
- NPI Number
- 1902096928
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2007 (19.062240375946 yrs)
- Last Updated
- Jul 12, 2018
- Licenses
-
036.142442 (IL)036.142442 (IL)036.142442 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4909 N. GLEN PARK PLACEPEORIA, IL, 616144676Browse IL providers · Browse ZIP 61614
- Phone
- 3096747546
- Fax
- 3096919286
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Procedural Dermatology
- Additional Specialty
- Dermatology
Other Dermatology Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL L HAYES | D.O. | 1912017245 |
| HARRY C STONE | M.D. | 1538250220 |
| CHRISTOPHER T KROODSMA | M.D. | 1336230051 |
| BRUCE A MCLELLAND | M.D. | 1689762189 |
| JAMIE LYNN FREY | MD | 1639391006 |
| DR. KATHERINE ANN BEAUDRY | M.D. | 1659667954 |
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.