Kevin Dwayne Clardy in Brownwood - General Practice
Kevin Dwayne Clardy - NPI 1356553887
Kevin Dwayne Clardy is a General Practice in Brownwood, Texas. Kevin Dwayne Clardy practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kevin Dwayne Clardy is 1356553887. The last update date is 2007-07-08.
Kevin Dwayne Clardy's current location address is 2900 Coggin Avenue, Brownwood, Texas. You can contact this provider via phone number 3256436323 and fax number 3256467428. The mailing address for Kevin Dwayne Clardy is 2900 Coggin Avenue, Brownwood, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Dwayne Clardy |
|---|---|
| Address | 2900 Coggin Avenue, Brownwood, Texas |
| Phone Number | 3256436323 |
| Fax Number | 3256467428 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1356553887 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2900 Coggin Avenue |
|---|---|
| City | Brownwood |
| State | Texas (TX) |
| Post Code | 76801 |
| Phone Number | 3256436323 |
| Fax Number | 3256467428 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 16486 |
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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 Kevin Dwayne Clardy by the Centers for Medicare & Medicaid Services?
The Kevin Dwayne Clardy has been assigned the NPI (National Provider Identifier) 1356553887 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 physical location address of Kevin Dwayne Clardy?
The Kevin Dwayne Clardy is physically situated at 2900 Coggin Avenue, in the city of Brownwood, state of TX, with the postal code 76801.
What is the area of specialization for Kevin Dwayne Clardy, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kevin Dwayne Clardy is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
When did Kevin Dwayne Clardy receive its 1356553887 assignment?
The Kevin Dwayne Clardy was assigned its 1356553887 on 2007-05-04, which is the date when this unique identifier was issued to the organization.
As of what date were the Kevin Dwayne Clardy's details last updated?
The information pertaining to the Kevin Dwayne Clardy, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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