Kenneth J. Grayer Jr.

Driver · Libertyville, IL

Individual Active NPI

NPI number 1740884279

Practice location

520 E Lincoln Ave
Libertyville, IL 60048-2923
Phone
(662) 346-3883

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NPI record

NPI
1740884279
Entity type
Individual (Type 1)
Enumeration date
November 25, 2020
Last updated
August 16, 2021
Certified
August 16, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Driver Primary 172A00000X — —

About Kenneth Grayer

Kenneth J. Grayer Jr. is a healthcare provider registered in the NPI registry with the primary taxonomy Driver (code 172A00000X). The practice location is 520 E Lincoln Ave, Libertyville, IL 60048-2923. The NPI number 1740884279 was assigned on November 25, 2020 and the record was last updated on August 16, 2021.

Frequently asked questions

What is the NPI number of Kenneth J. Grayer Jr.?

The NPI number is 1740884279.

What is the phone number of Kenneth Grayer?

The phone number listed for the practice location is (662) 346-3883.

Where is Kenneth Grayer located?

520 E Lincoln Ave, Libertyville, IL 60048-2923.

What is the taxonomy code for Kenneth Grayer?

The primary taxonomy code is 172A00000X – Driver.

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.