Individual
DR. KEVIN CHARLES KAISER
Active
Individual
DR. KEVIN CHARLES KAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.032003
IL
122300000X
Dentist
2016018478
MO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2016018478
MO
Other
Enumeration date
06/22/2016
Last updated
03/21/2019
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