Kevin Erick Kelleher in Midlothian - Orthodontics And Dentofacial Orthopedics
Kevin Erick Kelleher - NPI 1265630404
Kevin Erick Kelleher is a Orthodontics And Dentofacial Orthopedics in Midlothian, Virginia. Kevin Erick Kelleher practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Kevin Erick Kelleher is 1265630404. The last update date is 2012-12-20.
Kevin Erick Kelleher's current location address is 2412 Colony Crossing Pl, Midlothian, Virginia. You can contact this provider via phone number 8047396673. The mailing address for Kevin Erick Kelleher is 2412 Colony Crossing Pl, Midlothian, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Erick Kelleher |
|---|---|
| Address | 2412 Colony Crossing Pl, Midlothian, Virginia |
| Phone Number | 8047396673 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.M.D |
NPI Number Detail
| NPI Number | 1265630404 |
|---|---|
| Provider Enumeration Date | 2007-07-10 |
| Last Updated Date | 2012-12-20 |
Provider Mailing Address Detail
| Address | 2412 Colony Crossing Pl |
|---|---|
| City | Midlothian |
| State | Virginia (VA) |
| Post Code | 231124281 |
| Phone Number | 8047396673 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 401411884 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the unique 10-digit identification code issued to Kevin Erick Kelleher by the Centers for Medicare & Medicaid Services?
The Kevin Erick Kelleher has been assigned the NPI (National Provider Identifier) 1265630404 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Kevin Erick Kelleher is located?
The Kevin Erick Kelleher is situated at the following address: 2412 Colony Crossing Pl, Midlothian, VA, 231124281.
What is Kevin Erick Kelleher's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kevin Erick Kelleher's specialized field of practice is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of specialization is 1223X0400X.
When was the Kevin Erick Kelleher's 1265630404 issued?
The Kevin Erick Kelleher's 1265630404 was issued on 2007-07-10.
As of what date were the Kevin Erick Kelleher's details last updated?
The information pertaining to the Kevin Erick Kelleher, including its address, specialty, and other details, was most recently updated on 2012-12-20.
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