Individual
DR. KEVIN WILSON MORRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2141 EASTERN PKWY, SCHENECTADY, NY 12309-6347
(518) 372-2859
Mailing address
2141 EASTERN PKWY, SCHENECTADY, NY 12309-6347
(518) 372-2859
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
044618
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01471952
—
NY
Enumeration date
03/12/2007
Last updated
07/08/2007
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