Derek Ryan Kaelin in Springfield - General Practice
Derek Ryan Kaelin - NPI 1689710873
Derek Ryan Kaelin is a General Practice in Springfield, Missouri. Derek Ryan Kaelin practices all healthcare services and medical treatments related to General Practice. The NPI Number for Derek Ryan Kaelin is 1689710873. The last update date is 2011-09-07.
Derek Ryan Kaelin's current location address is 540 W Lasalle St, Springfield, Missouri. You can contact this provider via phone number 4178871220 and fax number 4178870357. The mailing address for Derek Ryan Kaelin is 540 W Lasalle St, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek Ryan Kaelin |
|---|---|
| Address | 540 W Lasalle St, Springfield, Missouri |
| Phone Number | 4178871220 |
| Fax Number | 4178870357 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1689710873 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2011-09-07 |
Provider Mailing Address Detail
| Address | 540 W Lasalle St |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 6580747120 |
| Phone Number | 4178871220 |
| Fax Number | 4178870357 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DEN 20030171 |
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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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What is the unique 10-digit identifier code issued to Derek Ryan Kaelin by the Centers for Medicare & Medicaid Services?
The Derek Ryan Kaelin has been assigned the NPI (National Provider Identifier) 1689710873 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Derek Ryan Kaelin is physically located?
The Derek Ryan Kaelin is physically situated at the following address: 540 W Lasalle St, Springfield, MO, 6580747120.
What is Derek Ryan Kaelin's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Derek Ryan Kaelin is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1689710873 to Derek Ryan Kaelin?
The Derek Ryan Kaelin received its 1689710873 assignment from the Centers for Medicare & Medicaid Services on 2007-01-29.
When was the information regarding Derek Ryan Kaelin most recently updated?
The details pertaining to the Derek Ryan Kaelin, including its address, specialty, and other relevant information, were last refreshed on 2011-09-07.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN