DR. KIM DEWAYNE KEMMERLY DMD NPI 1356979603

NPI Information

DR. Kim Dewayne Kemmerly, DMD is a general practice dentist in Las Vegas, NV. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Kim Dewayne Kemmerly, DMD NPI is 1356979603. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5905 W CHARLESTON BLVD APT 250
LAS VEGAS, NV
ZIP 89146-375
Phone: (318) 332-6347

The NPI 1356979603 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 3/31/2020 and was last updated on 3/31/2020.

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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