Individual
DR. KEVIN R AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
KEVIN R. AUSTIN
Contact information
Practice address
708 W MOUNT VERNON ST, NIXA, MO 65714-9682
(417) 725-9600
(417) 725-9566
Mailing address
708 W MOUNT VERNON ST, NIXA, MO 65714-9682
(417) 725-9600
(417) 725-9566
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2002014201
MO
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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