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Contact Information

KENNETH J DOLS, MD
1802 S. MATTIS AVENUE
ORTHOPEDICS
CHAMPAIGN, IL61821
 Phone: 217-383-7676
 Fax: 217-383-4910
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KENNETH J DOLS · (Male)

NPI Number 1134147200
Status Active
Credentials MD
Entity Individual
Enumeration date 07/17/2006
Last updated 06/05/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036067713
  • IL Other 0533210001 DMERC
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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