Kelly Nicole West is a Dentist in Grafton, Wisconsin. Kelly Nicole West practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kelly Nicole West is 1760582480. The last update date is 2015-09-23.
Kelly Nicole West's current location address is 1245 Cheyenne Ave, Grafton, Wisconsin. You can contact this provider via phone number 2623772668 and fax number 2623772680. The mailing address for Kelly Nicole West is 1245 Cheyenne Ave, Grafton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Nicole West |
|---|---|
| Address | 1245 Cheyenne Ave, Grafton, Wisconsin |
| Phone Number | 2623772668 |
| Fax Number | 2623772680 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1760582480 |
|---|---|
| Provider Enumeration Date | 2006-09-23 |
| Last Updated Date | 2015-09-23 |
Provider Mailing Address Detail
| Address | 1245 Cheyenne Ave |
|---|---|
| City | Grafton |
| State | Wisconsin (WI) |
| Post Code | 53024 |
| Phone Number | 2623772668 |
| Fax Number | 2623772680 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2901018424 |
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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 identifier code issued to Kelly Nicole West by the Centers for Medicare & Medicaid Services?
The Kelly Nicole West has been assigned the NPI (National Provider Identifier) 1760582480. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kelly Nicole West is physically located?
The Kelly Nicole West is physically situated at the following address: 1245 Cheyenne Ave, Grafton, WI, 53024.
What is Kelly Nicole West'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 Kelly Nicole West is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did Kelly Nicole West receive its 1760582480 assignment from the Centers for Medicare & Medicaid Services?
The Kelly Nicole West was assigned its 1760582480 on 2006-09-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Kelly Nicole West's information last updated?
The Kelly Nicole West's information was last updated on 2015-09-23.