Kenneth J Killpack in Walla Walla - Dentist
Kenneth J Killpack - NPI 1750464749
Kenneth J Killpack is a Dentist in Walla Walla, Washington. Kenneth J Killpack practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kenneth J Killpack is 1750464749. The last update date is 2007-07-08.
Kenneth J Killpack's current location address is 1120 W Rose St, Walla Walla, Washington. You can contact this provider via phone number 5095255595. The mailing address for Kenneth J Killpack is 1120 W Rose St, Walla Walla, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth J Killpack |
|---|---|
| Address | 1120 W Rose St, Walla Walla, Washington |
| Phone Number | 5095255595 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1750464749 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1120 W Rose St |
|---|---|
| City | Walla Walla |
| State | Washington (WA) |
| Post Code | 993621662 |
| Phone Number | 5095255595 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DE00010682 |
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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 identifier code issued to Kenneth J Killpack by the Centers for Medicare & Medicaid Services?
The Kenneth J Killpack has been assigned the NPI (National Provider Identifier) 1750464749 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Kenneth J Killpack is geographically located?
The Kenneth J Killpack is physically situated at the following location: 1120 W Rose St, Walla Walla, WA, 993621662.
What is Kenneth J Killpack's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kenneth J Killpack is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date was the 1750464749 assigned to Kenneth J Killpack?
The Kenneth J Killpack was issued its 1750464749 on 2006-10-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Kenneth J Killpack most recently updated or refreshed?
The details pertaining to the Kenneth J Killpack, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN