Individual
DR. KEVIN JAMES KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
202 S GAMMON RD, SUITE 150, MADISON, WI 53717-1400
(608) 664-9500
(608) 664-9566
Mailing address
202 S GAMMON RD, SUITE 150, MADISON, WI 53717-1400
(608) 664-9500
(608) 664-9566
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6838-15
WI
Other
Enumeration date
01/10/2013
Last updated
02/23/2015
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