Individual
DR. KIM DEWAYNE KEMMERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5905 W CHARLESTON BLVD APT 250, LAS VEGAS, NV 89146-1375
(318) 332-6347
Mailing address
5905 W CHARLESTON BLVD APT 250, LAS VEGAS, NV 89146-1375
(318) 332-6347
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7322
NV
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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