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Kenneth Max Eakin, M.D.

Family Medicine Physician in Glen Carbon, IL · enumerated 2005 · practices at Family Physicians of Madison County Ltd.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174529556

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Registry record

Entity type Individual (Type 1)
Name Kenneth Max Eakin
Credential M.D.
Sex Male
Practice address 3 Junction Dr W, Glen Carbon, IL, 62034
Fax (618) 288-9153
Enumeration date Jun 22, 2005
Last updated in NPPES Apr 30, 2008

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 036066196 (IL) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
080021116 Other IL RR MEDICARE
0107335 Other - UNITED HEALTHCARE
371205888 Other - TAX ID
118802 Other - HEALTHLINK
N4882 Other - GROUP HEALTH PLAN
036066196 Medicaid IL -
4622029 Other IL ADMINISTAR

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Kenneth Eakin's NPI record?
Cross-check NPI 1174529556 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1174529556 active?
Yes, as of the latest NPPES snapshot, NPI 1174529556 is active (record last updated 2008-04-30).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-30.