Kathryn A. Kell Dds Pc | |
1751 E 54th St Davenport IA 52807-2769 | |
(563) 355-6626 | |
(563) 359-7636 |
Full Name | Kathryn A. Kell Dds Pc |
---|---|
Speciality | Clinic/center - Dental |
Location | 1751 E 54th St, Davenport, Iowa |
Authorized Official Name and Position | Kathryn A Kell (PRESIDENT) |
Authorized Official Contact | 5633556626 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kathryn A. Kell Dds Pc 1751 E 54th St Davenport IA 52807-2769 Ph: (563) 355-6626 | Kathryn A. Kell Dds Pc 1751 E 54th St Davenport IA 52807-2769 Ph: (563) 355-6626 |
NPI Number | 1336511120 |
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Provider Enumeration Date | 10/20/2015 |
Last Update Date | 10/20/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336511120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 06415 (Iowa) | Primary |
261QD0000X | Clinic/center - Dental | 8500 (Iowa) | Secondary |
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