Keith Ray Konvalinka in Kalamazoo - Dentist
Keith Ray Konvalinka - NPI 1275538662
Keith Ray Konvalinka is a Dentist in Kalamazoo, Michigan. Keith Ray Konvalinka practices all healthcare services and medical treatments related to Dentist. The NPI Number for Keith Ray Konvalinka is 1275538662. The last update date is 2007-07-08.
Keith Ray Konvalinka's current location address is 7070 Stadium Dr, Kalamazoo, Michigan. You can contact this provider via phone number 2693752856. The mailing address for Keith Ray Konvalinka is 7070 Stadium Dr, Kalamazoo, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Ray Konvalinka |
|---|---|
| Address | 7070 Stadium Dr, Kalamazoo, Michigan |
| Phone Number | 2693752856 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1275538662 |
|---|---|
| Provider Enumeration Date | 2005-06-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7070 Stadium Dr |
|---|---|
| City | Kalamazoo |
| State | Michigan (MI) |
| Post Code | 4900994230 |
| Phone Number | 2693752856 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2901012870 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4062638 | MI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Keith Ray Konvalinka?
The Keith Ray Konvalinka has been issued the NPI (National Provider Identifier) 1275538662 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Keith Ray Konvalinka's physical address?
The Keith Ray Konvalinka is physically located at 7070 Stadium Dr, in the city of Kalamazoo, MI, with the postal code 4900994230.
What is Keith Ray Konvalinka's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Keith Ray Konvalinka is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Keith Ray Konvalinka receive its 1275538662 assignment from the Centers for Medicare & Medicaid Services?
The Keith Ray Konvalinka was assigned its 1275538662 by the Centers for Medicare & Medicaid Services on 2005-06-14.
As of what date was the information pertaining to Keith Ray Konvalinka, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Keith Ray Konvalinka, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1073517686
Address: 2100 Martin Luther King Jr Blvd, Clovis, NM