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Contact Information

RODNEY KINGSTON, MD
2570 FEDERAL DRIVE
DECATUR, IL62526
 Phone: 217-872-1003
 Fax: 217-233-4150
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for RODNEY KINGSTON · (Male)

NPI Number 1578632675
Status Active
Credentials MD
Entity Individual
Enumeration date 11/06/2006
Last updated 08/27/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036061442
  • IL Other 05821971 BCBS
  • IL Other 260046744 RR MEDICARE
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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