| Kenneth W. Nelson, Dds, Pa | |
|
1919 N. Webb Rd Wichita KS 67206-3405 | |
| (316) 634-1414 | |
| (316) 634-2907 |
| Full Name | Kenneth W. Nelson, Dds, Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1919 N. Webb Rd, Wichita, Kansas |
| Authorized Official Name and Position | Kenneth W Nelson (OWNER) |
| Authorized Official Contact | 3166341414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth W. Nelson, Dds, Pa 1919 N Webb Rd Wichita KS 67206-3405 Ph: (316) 634-1414 | Kenneth W. Nelson, Dds, Pa 1919 N. Webb Rd Wichita KS 67206-3405 Ph: (316) 634-1414 |
| NPI Number | 1013220813 |
|---|---|
| Provider Enumeration Date | 07/21/2010 |
| Last Update Date | 07/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013220813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 5149 (Kansas) | Primary |
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