# KENNETH NELKIN DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kenneth Nelkin
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639272214
- **Authorized official:** DR. KENNETH SCOTT NELKIN DDS (DENTIST)
- **Authorized official phone:** (913) 897-5653

## Contact information

- **Practice address:** 11755 W 112TH ST, ST 200, OVERLAND PARK, KS 66210
- **Practice address phone:** (913) 897-5653
- **Mailing address:** 13805 HEMLOCK ST, OVERLAND PARK, KS 66223
- **Mailing address phone:** (913) 897-5653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5632 | KS | Yes |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 08/22/2020