Mr. Kenneth J Grayer Jr.
Mr. Kenneth J Grayer Jr. is a Driver in Libertyville, Illinois. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
520 E Lincoln AveLibertyville, IL 60048-2923
Phone: (662) 346-3883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X |
|---|
Record details
| NPI number | 1740884279 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 25, 2020 |
| Last updated in NPPES | August 16, 2021 |
| Certification date | August 16, 2021 |