Kenneth A Krebs is a Periodontics in Chicago, Illinois. Kenneth A Krebs practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Kenneth A Krebs is 1629070743. The last update date is 2007-07-08.
Kenneth A Krebs's current location address is 30 N Michigan Ave, Chicago, Illinois. You can contact this provider via phone number 3123323937 and fax number 3123323929. The mailing address for Kenneth A Krebs is 30 N Michigan Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth A Krebs |
|---|---|
| Address | 30 N Michigan Ave, Chicago, Illinois |
| Phone Number | 3123323937 |
| Fax Number | 3123323929 |
| Sole Proprietor | X |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1629070743 |
|---|---|
| Provider Enumeration Date | 2005-06-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 30 N Michigan Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 6060238050 |
| Phone Number | 3123323937 |
| Fax Number | 3123323929 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 21-000664 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21-000664 | IL | SPECIALTY LICENSE | |
| 19-013265 | IL | DENTAL LICENSE |
Post Comment/ Review Below
What is the Kenneth A Krebs's 1629070743?
The Kenneth A Krebs's NPI (National Provider Identifier) Number is 1629070743. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kenneth A Krebs located?
The Kenneth A Krebs is located at 30 N Michigan Ave, Chicago, IL 6060238050.
What is Kenneth A Krebs's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kenneth A Krebs is Periodontics, and the corresponding taxonomy classification code for this specialized field is 1223P0300X.
On what date did the Kenneth A Krebs receive the assignment of its 1629070743 from the Centers for Medicare & Medicaid Services?
The Kenneth A Krebs was issued its 1629070743 by the Centers for Medicare & Medicaid Services on 2005-06-01.
When was the information pertaining to Kenneth A Krebs most recently updated or revised?
The details related to Kenneth A Krebs, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.