Individual
DR. KEVIN WRIGHT MCMINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D, M.S.D
Contact information
Practice address
181 1ST AVE N, KETCHUM, ID 83340
(208) 726-3132
Mailing address
PO BOX 6327, KETCHUM, ID 83340-6327
(208) 726-3132
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
26105
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D-4449-OR
ID
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DD3413
NM
Other
Enumeration date
11/22/2010
Last updated
03/26/2013
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