Individual
DR. KEVIN KELSO SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10 HEARTLAND DR, SUITE C, BLOOMINGTON, IL 61704-7741
(309) 663-1721
Mailing address
10 HEARTLAND DR, SUITE C, BLOOMINGTON, IL 61704-7741
(309) 663-1721
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-018656
IL
Other
Enumeration date
06/10/2006
Last updated
02/19/2015
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