KENNETH W. NELSON DDS PA NPI 1013220813

NPI Information

KENNETH W. NELSON, DDS, PA is an oral and maxillofacial surgery dentist in Wichita, KS. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. KENNETH W. NELSON, DDS, PA NPI is 1013220813. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1919 N. WEBB RD
WICHITA, KS
ZIP 67206-405
Phone: (316) 634-1414
Fax: (316) 634-2907

The provider's authorized official is Kenneth W Nelson .
The authorized official title is Owner and has the following contact phone number (316) 634-1414.

The enumeration date for this NPI number is 7/21/2010 and was last updated on 7/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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