| Kaw Valley Family Dental Llc | |
|
10601 Kaw Dr Edwardsville KS 66111-1130 | |
| (913) 441-3373 | |
| Not Available |
| Full Name | Kaw Valley Family Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 10601 Kaw Dr, Edwardsville, Kansas |
| Authorized Official Name and Position | John Mcknight (OWNER) |
| Authorized Official Contact | 9132900014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaw Valley Family Dental Llc 10601 Kaw Dr Edwardsville KS 66111-1130 Ph: (913) 441-3373 | Kaw Valley Family Dental Llc 10601 Kaw Dr Edwardsville KS 66111-1130 Ph: (913) 441-3373 |
| NPI Number | 1114592938 |
|---|---|
| Provider Enumeration Date | 05/24/2021 |
| Last Update Date | 05/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114592938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |