Bradley B Kincheloe in Cheyenne - General Practice

Bradley B Kincheloe - NPI 1194842492

Bradley B Kincheloe is a General Practice in Cheyenne, . Bradley B Kincheloe practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bradley B Kincheloe is 1194842492. The last update date is 2007-07-08.

Bradley B Kincheloe's current location address is 6244 Yellowstone Rd, Cheyenne, . You can contact this provider via phone number 3076388520. The mailing address for Bradley B Kincheloe is 6244 Yellowstone Rd, Cheyenne, . To know further, please read the information below!

Provider Profile Detail

Provider Name Bradley B Kincheloe
Address 6244 Yellowstone Rd, Cheyenne,
Phone Number 3076388520
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1194842492
Provider Enumeration Date 2007-03-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6244 Yellowstone Rd
City Cheyenne
State (WY)
Post Code 820093432
Phone Number 3076388520
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 1070
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Bradley B Kincheloe

What is the unique provider identifier assigned to Bradley B Kincheloe?

The Bradley B Kincheloe has been issued the NPI (National Provider Identifier) 1194842492 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Bradley B Kincheloe is geographically located?

The Bradley B Kincheloe is physically situated at the following location: 6244 Yellowstone Rd, Cheyenne, WY, 820093432.

What is Bradley B Kincheloe'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 Bradley B Kincheloe is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1194842492 to Bradley B Kincheloe?

The Centers for Medicare & Medicaid Services assigned the 1194842492 to Bradley B Kincheloe on 2007-03-23.

When was the information regarding Bradley B Kincheloe, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Bradley B Kincheloe, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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