Kevin Dodge

Social Worker · Bloomington, IL

Individual Active NPI

NPI number 1114355351

Practice location

1003 Martin Luther King Dr
Bloomington, IL 61701-1429
Phone
(309) 827-6026
Fax
(309) 820-3745

Open in Google Maps

NPI record

NPI
1114355351
Entity type
Individual (Type 1)
Enumeration date
October 25, 2013
Last updated
October 25, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Social Worker Primary 104100000X — —

About Kevin Dodge

Kevin Dodge is a healthcare provider registered in the NPI registry with the primary taxonomy Social Worker (code 104100000X). The practice location is 1003 Martin Luther King Dr, Bloomington, IL 61701-1429. The NPI number 1114355351 was assigned on October 25, 2013 and the record was last updated on October 25, 2013.

Frequently asked questions

What is the NPI number of Kevin Dodge?

The NPI number is 1114355351.

What is the phone number of Kevin Dodge?

The phone number listed for the practice location is (309) 827-6026.

Where is Kevin Dodge located?

1003 Martin Luther King Dr, Bloomington, IL 61701-1429.

What is the taxonomy code for Kevin Dodge?

The primary taxonomy code is 104100000X – Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Social Worker providers in Bloomington

All Social Worker providers in Bloomington, IL →