Klint R Keller in Nampa - General Practice

Klint R Keller - NPI 1942228176

Klint R Keller is a General Practice in Nampa, Idaho. Klint R Keller practices all healthcare services and medical treatments related to General Practice. The NPI Number for Klint R Keller is 1942228176. The last update date is 2015-04-21.

Klint R Keller's current location address is 203 7th Ave S, Nampa, Idaho. You can contact this provider via phone number 2084668400 and fax number 2084668436. The mailing address for Klint R Keller is 203 7th Ave S, Nampa, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Klint R Keller
Address 203 7th Ave S, Nampa, Idaho
Phone Number 2084668400
Fax Number 2084668436
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1942228176
Provider Enumeration Date 2006-07-17
Last Updated Date 2015-04-21

Provider Mailing Address Detail

Address 203 7th Ave S
City Nampa
State Idaho (ID)
Post Code 836513846
Phone Number 2084668400
Fax Number 2084668436

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No D3610
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
1478887 ID UNITED CONCORDIA INS
806628200 ID --
10143908 ID BLUE SHIELD OF ID
6H361 ID BLUE CROSS INS

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FAQs about Klint R Keller

What is the unique identifier code issued to Klint R Keller by the Centers for Medicare & Medicaid Services (CMS)?

The Klint R Keller has been assigned the NPI (National Provider Identifier) 1942228176. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Klint R Keller?

The Klint R Keller is situated at 203 7Th Ave S, in the city of Nampa, state of ID, with the zip code 836513846.

What is Klint R Keller's specialized field of practice, and what is the corresponding taxonomy classification code?

The Klint R Keller's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date was the 1942228176 assigned to Klint R Keller?

The Klint R Keller was issued its 1942228176 on 2006-07-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Klint R Keller most recently updated or revised?

The information pertaining to Klint R Keller, including its address, specialty, and other relevant details, was last updated or revised on 2015-04-21.

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