Individual
DR. KEVIN MATTHEW DOWNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
17901 TURNERS DR, SOUTH BEND, IN 46635-1529
(574) 272-0466
Mailing address
5810 STERLING DR, GRANGER, IN 46530-4431
(192) 221-1676
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012988A
IN
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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