Individual
KENNETH KYSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10045 BALTIMORE NATIONAL PIKE, SUITE A1, ELLICOTT CITY, MD 21042-3673
(410) 418-8370
(410) 552-8398
Mailing address
10045 BALTIMORE NATIONAL PIKE, SUITE A1, ELLICOTT CITY, MD 21042-3673
(410) 418-8370
(410) 552-8398
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8794
MD
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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