Kenneth Legault in Pueblo - General Practice

Kenneth Legault - NPI 1841361011

Kenneth Legault is a General Practice in Pueblo, Colorado. Kenneth Legault practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth Legault is 1841361011. The last update date is 2007-07-09.

Kenneth Legault's current location address is 415 N Grand Ave, Pueblo, Colorado. You can contact this provider via phone number 7195831800. The mailing address for Kenneth Legault is 415 N Grand Ave, Pueblo, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Legault
Address 415 N Grand Ave, Pueblo, Colorado
Phone Number 7195831800
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1841361011
Provider Enumeration Date 2006-11-10
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 415 N Grand Ave
City Pueblo
State Colorado (CO)
Post Code 810033111
Phone Number 7195831800
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 12008504A
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 Kenneth Legault

What is the unique 10-digit identification code issued to Kenneth Legault by the Centers for Medicare & Medicaid Services?

The Kenneth Legault has been assigned the NPI (National Provider Identifier) 1841361011 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Kenneth Legault is physically located?

The Kenneth Legault is physically situated at the following address: 415 N Grand Ave, Pueblo, CO, 810033111.

What is the area of specialization for Kenneth Legault, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kenneth Legault is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did the Kenneth Legault receive the assignment of its 1841361011 from the Centers for Medicare & Medicaid Services?

The Kenneth Legault was issued its 1841361011 by the Centers for Medicare & Medicaid Services on 2006-11-10.

When was the information pertaining to Kenneth Legault most recently updated or revised?

The details related to Kenneth Legault, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.

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