Kelly Lee Kingma is a Dentist in Bettendorf, Iowa. Kelly Lee Kingma practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kelly Lee Kingma is 1972759546. The last update date is 2012-04-23.
Kelly Lee Kingma's current location address is 3024 Victoria St, Bettendorf, Iowa. You can contact this provider via phone number 5633322447. The mailing address for Kelly Lee Kingma is 3024 Victoria St, Bettendorf, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Lee Kingma |
|---|---|
| Address | 3024 Victoria St, Bettendorf, Iowa |
| Phone Number | 5633322447 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1972759546 |
|---|---|
| Provider Enumeration Date | 2008-08-14 |
| Last Updated Date | 2012-04-23 |
Provider Mailing Address Detail
| Address | 3024 Victoria St |
|---|---|
| City | Bettendorf |
| State | Iowa (IA) |
| Post Code | 527222793 |
| Phone Number | 5633322447 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 8557 |
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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 |
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What is the unique 10-digit identification code assigned to Kelly Lee Kingma by the Centers for Medicare & Medicaid Services?
The Kelly Lee Kingma has been issued the NPI (National Provider Identifier) 1972759546, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kelly Lee Kingma is located?
The Kelly Lee Kingma is situated at the following address: 3024 Victoria St, Bettendorf, IA, 527222793.
What is the area of specialization for Kelly Lee Kingma, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kelly Lee Kingma is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
When was the Kelly Lee Kingma's 1972759546 issued?
The Kelly Lee Kingma's 1972759546 was issued on 2008-08-14.
When was the information regarding Kelly Lee Kingma, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kelly Lee Kingma, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-04-23.
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