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Contact Information

SHAUN KINK, MD
1111 TRINITY LN STE 111
BLOOMINGTON, IL61704-8112
 Phone: 309-663-6461
 Fax: 309-663-5711
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SHAUN KINK · (Male)

NPI # 1801181920
Status Active
Credentials MD
Entity Individual
Enumeration date 06/16/2011
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036141813
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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