Kurt R Childress, DMD Valid NPI
Individual provider · General Practice Dentistry · Hindman, KY
- NPI
- 1154463818
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 6629 (KY)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-02-12
- Last updated
- 2007-07-09
Practice location
566 Highway 899
Hindman, KY 41822-0849
(606) 785-3164