Individual
DR. STEPHEN KIRK VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4811 BOB BILLINGS PKWY, SUITE A, LAWRENCE, KS 66049-3851
(785) 841-2902
(785) 841-5312
Mailing address
4811 BOB BILLINGS PKWY, SUITE A, LAWRENCE, KS 66049-3851
(785) 841-2902
(785) 841-5312
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6362
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116521
PTAN
KS
Enumeration date
09/11/2006
Last updated
08/04/2009
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