Individual
DR. KEVIN MICHAEL CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2014 SANDY DR, STATE COLLEGE, PA 16803-2515
(814) 574-6324
Mailing address
2014 SANDY DR, STATE COLLEGE, PA 16803-2515
(814) 574-6324
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS037955
PA
Other
Enumeration date
06/28/2009
Last updated
06/28/2009
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