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Contact Information

ZACHARY H MCKENTY, PHYSICIAN ASSISTANT
300 W OAK ST
CARBONDALE, IL62901-1400
 Phone: 618-453-8850
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Independent Duty Medical Technicians

1710I1003X
Indicates primary specialty

NPI Profile & details for ZACHARY H MCKENTY · (Male)

NPI Number 1407190812
Status Active
Credentials PHYSICIAN ASSISTANT
Entity Individual
Enumeration date 11/26/2012
Last updated 06/10/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers Not Available
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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