Kim Benson Keller in Nampa - Dentist

Kim Benson Keller - NPI 1518978543

Kim Benson Keller is a Dentist in Nampa, Idaho. Kim Benson Keller practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kim Benson Keller is 1518978543. The last update date is 2022-02-24.

Kim Benson Keller's current location address is 607 2nd St S, Nampa, Idaho. You can contact this provider via phone number 2084662456 and fax number 2083180227. The mailing address for Kim Benson Keller is 607 2nd St S, Nampa, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Kim Benson Keller
Address 607 2nd St S, Nampa, Idaho
Phone Number 2084662456
Fax Number 2083180227
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1518978543
Provider Enumeration Date 2006-08-11
Last Updated Date 2022-02-24

Provider Mailing Address Detail

Address 607 2nd St S
City Nampa
State Idaho (ID)
Post Code 836513837
Phone Number 2084662456
Fax Number 2083180227

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No D3065
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1422900 ID --
519891 ID UNITED CONCORDIA ID NUMBE
60852 ID BLUE CROSS OF IDAHO

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FAQs about Kim Benson Keller

What is the Kim Benson Keller's 1518978543?

The Kim Benson Keller's NPI (National Provider Identifier) Number is 1518978543. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Kim Benson Keller is physically located?

The Kim Benson Keller is physically situated at the following address: 607 2Nd St S, Nampa, ID, 836513837.

What is Kim Benson Keller's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kim Benson Keller's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1518978543 to Kim Benson Keller?

The Kim Benson Keller received its 1518978543 assignment from the Centers for Medicare & Medicaid Services on 2006-08-11.

As of what date was the information regarding Kim Benson Keller, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kim Benson Keller, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-02-24.

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