Kelvin Scott Whitaker in Decatur - General Practice

Kelvin Scott Whitaker - NPI 1831286210

Kelvin Scott Whitaker is a General Practice in Decatur, Alabama. Kelvin Scott Whitaker practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kelvin Scott Whitaker is 1831286210. The last update date is 2007-07-09.

Kelvin Scott Whitaker's current location address is 1215 13th Ave Se, Decatur, Alabama. You can contact this provider via phone number 2563531481. The mailing address for Kelvin Scott Whitaker is 1215 13th Ave Se, Decatur, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelvin Scott Whitaker
Address 1215 13th Ave Se, Decatur, Alabama
Phone Number 2563531481
Fax Number
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1831286210
Provider Enumeration Date 2006-10-06
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 1215 13th Ave Se
City Decatur
State Alabama (AL)
Post Code 356014306
Phone Number 2563531481
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No AL4965
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
51514998 WHI BLUE CROSS BLUE SHIELD

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FAQs about Kelvin Scott Whitaker

What is the unique 10-digit identifier code issued to Kelvin Scott Whitaker by the Centers for Medicare & Medicaid Services?

The Kelvin Scott Whitaker has been assigned the NPI (National Provider Identifier) 1831286210 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 location address where Kelvin Scott Whitaker's facilities are situated?

The facilities of Kelvin Scott Whitaker are physically located at the following address: 1215 13Th Ave Se, Decatur, AL, 356014306.

What is Kelvin Scott Whitaker's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kelvin Scott Whitaker is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1831286210 to Kelvin Scott Whitaker?

The Kelvin Scott Whitaker received its 1831286210 assignment from the Centers for Medicare & Medicaid Services on 2006-10-06.

When was the information regarding Kelvin Scott Whitaker most recently updated?

The details pertaining to the Kelvin Scott Whitaker, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.

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