Individual
DR. KEVIN J. HYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
301 EAST AVE, ELYRIA, OH 44035-5736
(440) 323-2523
(440) 323-2690
Mailing address
301 EAST AVE, ELYRIA, OH 44035-5736
(440) 323-2523
(440) 323-2690
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30. 017356
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0542943
—
OH
Enumeration date
07/27/2006
Last updated
07/09/2007
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