| Dr Kevin John Kellerman, DMD | |
|
16 Junction Dr W, Suite 101, Glen Carbon, IL 62034-2996 | |
| (618) 228-3100 | |
| (618) 288-3434 |
| Full Name | Dr Kevin John Kellerman |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 16 Junction Dr W, Glen Carbon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962419317 | NPI | - | NPPES |
| 108441 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019-025862 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin John Kellerman, DMD 16 Junction Dr W, Suite 101, Glen Carbon, IL 62034-2996 Ph: (618) 228-3100 | Dr Kevin John Kellerman, DMD 16 Junction Dr W, Suite 101, Glen Carbon, IL 62034-2996 Ph: (618) 228-3100 |
Dr. Christa D Hopp, DMD Dentist Medicare: Medicare Enrolled Practice Location: 21 Glen Ed Professional Park, Glen Carbon, IL 62034 Phone: 618-656-8436 Fax: 618-656-3534 | |
Jesse Snyder, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 16 Junction Dr W Ste 101, Glen Carbon, IL 62034 Phone: 618-228-3100 | |
Dr. Bruce E Rotter, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 132 Crystal Gate Ln, Glen Carbon, IL 62034 Phone: 618-288-0962 | |
Dr. Kanika Yadav Ryan, Dentist Medicare: Not Enrolled in Medicare Practice Location: 22 Glen Ed Professional Park Ste B, Glen Carbon, IL 62034 Phone: 618-659-2030 | |
Cathy Evans Longos, DMD Dentist Medicare: Medicare Enrolled Practice Location: 22a Glen Ed Professional Park, Glen Carbon, IL 62034 Phone: 618-656-7615 | |
Abby Michelle Roth, Dentist Medicare: Not Enrolled in Medicare Practice Location: 21 Glen Ed Professional Park, Glen Carbon, IL 62034 Phone: 618-656-0608 | |
Dr. Manita Grover Utreja, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 148 Northbay Ct, Glen Carbon, IL 62034 Phone: 317-693-9801 |