Organization
KANNING DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NELSON C KANNING DDS (OWNER)
(816) 580-4191
Entity
Organization
Contact information
Practice address
201 E 6TH ST, LAWSON, MO 64062-7804
(816) 580-4191
(816) 296-3058
Mailing address
201 E 6TH ST, LAWSON, MO 64062-7804
(816) 580-4191
(816) 296-3058
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2013016719
MO
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
11/24/2014
Last updated
02/07/2019
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