| Kenneth Killpack, Dds, P.c. | |
|
13503 Se Mill Plain Blvd Ste B2 Vancouver WA 98684-6992 | |
| (360) 254-1307 | |
| Not Available |
| Full Name | Kenneth Killpack, Dds, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13503 Se Mill Plain Blvd Ste B2, Vancouver, Washington |
| Authorized Official Name and Position | Kenneth Killpack (OWNER) |
| Authorized Official Contact | 3602541307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Killpack, Dds, P.c. 13503 Se Mill Plain Blvd Ste B2 Vancouver WA 98684-6992 Ph: (360) 254-1307 | Kenneth Killpack, Dds, P.c. 13503 Se Mill Plain Blvd Ste B2 Vancouver WA 98684-6992 Ph: (360) 254-1307 |
| NPI Number | 1508698374 |
|---|---|
| Provider Enumeration Date | 08/19/2024 |
| Last Update Date | 08/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508698374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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