Derek G Kenneaster, MD
Derek G Kenneaster, MD is a Dermatology in Herrin, Illinois. Graduated from Southern Illinois University School of Medicine in 1993, 33 years ago. Practices with Southern Illinois Dermatology, PC, a 14-clinician group and accepts Medicare assignment. Licensed in Florida.
- Years since qualifying
- 33
- Trained at
- Southern Illinois University School of Medicine
- Licensed in
- FL
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
220 N Park Ave Ste 2Herrin, IL 62948-3150
Phone: (618) 942-3344
Fax: (618) 942-5045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence ME94334 (FL) |
|---|
Record details
| NPI number | 1457372724 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 22, 2006 |
| Last updated in NPPES | March 23, 2011 |
| Mailing address | 220 N Park Ave, Suite 2, Herrin, IL 62948-3150 |
Medicare enrollment
| Medicare specialty | DERMATOLOGY |
|---|---|
| Medical school | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1993 (33 years in practice) |
| Group practice | Southern Illinois Dermatology, Pc — 14 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Herrin
-
Southern Illinois Dermatology, PC
220 N Park Ave Ste 2, Herrin, IL 62948-3150 · (618) 942-3344
-
Dr. Ted G Van Acker, DO
220 N Park Ave Ste 2, Herrin, IL 62948-3150 · (618) 942-3344