Individual
DR. KEVIN DUANE RASMUSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1380 S PATRICK DR, PATRICK AFB, FL 32925-3621
(321) 494-2184
Mailing address
1380 S PATRICK DR, PATRICK AFB, FL 32925-3621
(321) 494-2184
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DD3621
NM
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DD3621
NM
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN30081
FL
Other
Enumeration date
04/26/2010
Last updated
08/28/2025
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