Individual
KENNETH BLAINE MESSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1624 MORGAN STREET, KEOKUK, IA 52632
(319) 524-6214
Mailing address
1624 MORGAN STREET, KEOKUK, IA 52632
(319) 524-6214
(319) 524-0839
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
06069
IA
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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