Individual
DR. KEVIN THOMAS JARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
314 E ALTO RD, KOKOMO, IN 46902-3674
(765) 453-4261
(765) 453-4829
Mailing address
314 E ALTO RD, KOKOMO, IN 46902-3674
(765) 453-4261
(765) 453-4829
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12009911A
IN
Other
Enumeration date
09/09/2007
Last updated
09/09/2007
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