Kevin C Dodson
Kevin C Dodson is a Foot & Ankle Surgery Podiatrist in East Moline, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2005
Practice location Address checks out
1620 9th StEast Moline, IL 61244-2120
Phone: (309) 755-3809
Fax: (309) 755-3860
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Specialties & licences
| Foot & Ankle Surgery Podiatrist (primary) | Taxonomy 213ES0103X · Licence 016004304 (IL) |
|---|
Record details
| NPI number | 1629076559 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 13, 2005 |
| Last updated in NPPES | October 12, 2011 |
| Mailing address | 1620 9th St, East Moline, IL 61244-2120 |