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KENNTH ALAN HODEL MD NPI 1134197833


NPI Information

NPI: 1134197833
Provider Name: KENNTH ALAN HODEL, MD
Classification: Obstetrics & Gynecology - 207VX0201X
Entity Type: Individual

Specialization: Gynecologic Oncology

Address:
6915 N KNOXVILLE AVE
SUITE 1
PEORIA, IL
ZIP 61614
Phone: (309) 683-8910
Get Directions

Kennth Alan Hodel, MD is a gynecologic oncology obstetrics gynecology in Peoria, IL. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. Kennth Alan Hodel, MD NPI is 1134197833. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6915 N KNOXVILLE AVE
SUITE 1
PEORIA, IL
ZIP 61614-851
Phone: (309) 683-8910
Fax: (309) 683-8911

The enumeration date for this NPI number is 3/9/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VX0201XObstetrics & GynecologyGynecologic OncologyILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A24511MEDICARE UPIN
2593520MEDICARE ID-TYPE UNSPECIFIED
3318920MEDICARE ID-TYPE UNSPECIFIED
4A24511MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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