Kenneth John Liddiard in Pueblo - General Practice
Kenneth John Liddiard - NPI 1295792307
Kenneth John Liddiard is a General Practice in Pueblo, Colorado. Kenneth John Liddiard practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth John Liddiard is 1295792307. The last update date is 2020-10-23.
Kenneth John Liddiard's current location address is 2025 W Us Highway 50 Ste A100, Pueblo, Colorado. You can contact this provider via phone number 7195422472 and fax number 7195426435. The mailing address for Kenneth John Liddiard is 2025 W Us Highway 50 Ste A100, Pueblo, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth John Liddiard |
|---|---|
| Address | 2025 W Us Highway 50 Ste A100, Pueblo, Colorado |
| Phone Number | 7195422472 |
| Fax Number | 7195426435 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1295792307 |
|---|---|
| Provider Enumeration Date | 2006-05-01 |
| Last Updated Date | 2020-10-23 |
Provider Mailing Address Detail
| Address | 2025 W Us Highway 50 Ste A100 |
|---|---|
| City | Pueblo |
| State | Colorado (CO) |
| Post Code | 810081571 |
| Phone Number | 7195422472 |
| Fax Number | 7195426435 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 203000 |
|
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. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth John Liddiard by the Centers for Medicare & Medicaid Services?
The Kenneth John Liddiard has been assigned the NPI (National Provider Identifier) 1295792307. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kenneth John Liddiard's facilities are geographically located?
The facilities of Kenneth John Liddiard are physically situated at the following location: 2025 W Us Highway 50 Ste A100, Pueblo, CO, 810081571.
What is Kenneth John Liddiard's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth John Liddiard's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1295792307 to Kenneth John Liddiard?
The Centers for Medicare & Medicaid Services assigned the 1295792307 to Kenneth John Liddiard on 2006-05-01.
As of what date were the details related to Kenneth John Liddiard most recently updated or revised?
The information pertaining to Kenneth John Liddiard, including its address, specialty, and other relevant details, was last updated or revised on 2020-10-23.