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Individual

DR. KEVIN R KAST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
131 E 2ND ST, PORT CLINTON, OH 43452-1114
(419) 732-3584
Mailing address
131 E 2ND ST, PORT CLINTON, OH 43452-1114
(419) 732-3584

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-017803
OH

Other

Enumeration date
06/05/2007
Last updated
07/08/2007
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