| Dr Kelvin L Shane, DDS | |
|
108 Walnut Street, Suite A, Hudson, WI 54016 | |
| (715) 386-2133 | |
| (763) 515-3970 |
| Full Name | Dr Kelvin L Shane |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 108 Walnut Street, Hudson, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154733095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D13373 (Minnesota) | Secondary |
| 122300000X | Dentist | 1001487-15 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelvin L Shane, DDS 108 Walnut Street, Suite A, Hudson, WI 54016 Ph: (715) 386-2133 | Dr Kelvin L Shane, DDS 108 Walnut Street, Suite A, Hudson, WI 54016 Ph: (715) 386-2133 |
Patrick Lee Wolfe, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 900 Crestview Dr, Suite 240, Hudson, WI 54016 Phone: 715-381-5556 | |
Fariba Kianmajd, Dentist Medicare: Not Enrolled in Medicare Practice Location: 709 Rodeo Dr Ste 114, Hudson, WI 54016 Phone: 716-386-3675 | |
Dr. Kenneth R Brisson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 821 Coulee Rd, Hudson, WI 54016 Phone: 715-386-3548 Fax: 715-386-3634 | |
Paul Lawton, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1810 Crest View Dr, Suite 5a, Hudson, WI 54016 Phone: 715-386-3727 Fax: 715-386-4029 | |
Dr. Benjamin John Fravel, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1200 Crestview Dr, Suite 3, Hudson, WI 54016 Phone: 715-386-8070 Fax: 715-386-8958 | |
Morgan Taylor Rebeck, DDS Dentist Medicare: Medicare Enrolled Practice Location: 400 2nd St S Ste 250, Hudson, WI 54016 Phone: 715-808-0460 |