Organization
KENNETH NELKIN DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH NELKIN DDS (OWNER)
(913) 335-6057
Entity
Organization
Contact information
Practice address
12803 W 87TH STREET PKWY, LENEXA, KS 66215-4528
(913) 335-6057
Mailing address
12803 W 87TH STREET PKWY, LENEXA, KS 66215-4528
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5632
KS
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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