Joe Lynn Kethley in Abilene - Oral And Maxillofacial Surgery
Joe Lynn Kethley - NPI 1245258300
Joe Lynn Kethley is a Oral And Maxillofacial Surgery in Abilene, Texas. Joe Lynn Kethley practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Joe Lynn Kethley is 1245258300. The last update date is 2007-07-08.
Joe Lynn Kethley's current location address is 950 N 19th St, Abilene, Texas. You can contact this provider via phone number 3254373100 and fax number 3254373199. The mailing address for Joe Lynn Kethley is 950 N 19th St, Abilene, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joe Lynn Kethley |
|---|---|
| Address | 950 N 19th St, Abilene, Texas |
| Phone Number | 3254373100 |
| Fax Number | 3254373199 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1245258300 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 950 N 19th St |
|---|---|
| City | Abilene |
| State | Texas (TX) |
| Post Code | 796012494 |
| Phone Number | 3254373100 |
| Fax Number | 3254373199 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | D10328 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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What is the unique 10-digit identifier code assigned to Joe Lynn Kethley by the Centers for Medicare & Medicaid Services?
The Joe Lynn Kethley has been issued the NPI (National Provider Identifier) 1245258300 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Joe Lynn Kethley located?
The Joe Lynn Kethley is located at 950 N 19Th St, Abilene, TX 796012494.
What is Joe Lynn Kethley's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Joe Lynn Kethley is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1245258300 to Joe Lynn Kethley?
The Centers for Medicare & Medicaid Services originally issued the 1245258300 to Joe Lynn Kethley on 2006-07-17.
As of what date was the information regarding Joe Lynn Kethley, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Joe Lynn Kethley, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.