DR. KEVIN S WALL (NPI# 1760515035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760515035 |
| Entity Type | Individual |
| Full Name | DR. KEVIN S WALL |
| Credential | D.M.D |
| Practice Address |
340 Fairfield Ave Bellevue KY 41073-1175 |
| Practice Telephone | 8592917621 |
| Practice Fax Number | 8592910048 |
| Mailing Telephone | 8592917621 |
| Mailing Fax Number | 8592910048 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2014-01-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6165 | KY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386292357 | Kevin Alan Wall | Nurse Practitioner | 200 Front St Ste C, Vestal, NY 13850-1559 | 2019-09-03 |
| 1730709569 | Kevin M Wall | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-04-22 |
| 1376003350 | Kevin Wall | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2019-03-25 |
| 1710135199 | Kevin Wall | Physical Therapy Assistant | 307 N 5th St, Maryville, TN 37804-2921 | 2008-08-28 |
| 1285673087 | Kevin K Wall | Family Medicine | 4101 Anderson Ave, Manhattan, KS 66503-7588 | 2006-06-06 |
| 1508843335 | Kevin S. Wall | Preventive Medicine | 1661 Saint Anthony Ave, Saint Paul, MN 55104-3733 | 2005-12-22 |
| 1932196367 | Kevin Ray Wall | Chiropractor | 3011 S Lindsay Rd Ste 101, Gilbert, AZ 85295 | 2005-09-30 |
| Street Address |
340 FAIRFIELD AVE |
| City | BELLEVUE |
| State | KY |
| Zip Code | 41073-1175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528075058 | David Charles Hagedorn | Dentist | 340 Fairfield Ave, Bellevue, KY 41073-1010 | 2006-08-01 |
| 1811094097 | David C. Hagedorn Dmd Psc | Dentist | 340 Fairfield Ave, Bellevue, KY 41073-1010 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467618462 | Violet Marie Lichtenstein | Registered Nurse | 103 Landmark Drive, Bellevue La Health Care, Bellevue, KY 41073 | 2008-07-30 |
| 1033314554 | Healing Tables Ltd Co | Contractor | 405 Fairfield Ave, Bellevue, KY 41073 | 2007-06-15 |
| 1548391428 | Dana Porterfield | Physical Therapist | 103 Landmark Dr Lower Level, Patient First Pt, Bellevue, KY 41073 | 2007-03-09 |
| 1760527105 | Melissa Rose Sandoval | Social Worker | 103 Landmark Drive Ste 300, Department of Veteran's Affairs, Bellevue, KY 41073 | 2007-02-21 |
| 1619900784 | Mary D Huhn | Social Worker | 227 Fairfield Ave, 2nd Floor, Bellevue, KY 41073 | 2006-07-09 |
| 1972169746 | Christopher James Kersting | Nurse Practitioner | 53 Donnermeyer Dr, Bellevue, KY 41073 | 2019-05-16 |
| 1659711851 | Olivia Mae Faulkner Estes | Dentist | 103 Landmark Dr, Bellevue, KY 41073 | 2013-07-02 |
| 1740627124 | Jeffery Braden Blankenship | Family Medicine | 119 Fairfield Ave, Suite R102, Bellevue, KY 41073 | 2013-05-27 |
| 1437404431 | Jennifer Amy Adams | Family Medicine | 119 Fairfield Ave, Suite R102, Bellevue, KY 41073 | 2012-07-17 |
| 1861439937 | Michael Grainger | Family Medicine | 119 Fairfield Ave, Suite R102, Bellevue, KY 41073 | 2006-05-31 |
| Find all providers in zip 41073 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864301 | Ruei-hua Wang | Dentist | 1545 116th Ave Ne Ste 100, Bellevue, WA 98004-3813 | 2020-09-08 |
| 1043774599 | Priyanka Sharma,dds,pllc | Dentist | 14655 Ne Bel Red Rd Ste 104, Bellevue, WA 98007-3900 | 2019-01-29 |
| 1750819959 | Xue Du | Dentist | 15613 Bel Red Rd Ste C, Bellevue, WA 98008-2348 | 2017-06-01 |
| 1235582545 | Jensen & Brown, Dds | Dentist | 11 105th Ave Se Ste 11, Bellevue, WA 98004-6281 | 2016-07-21 |
| 1366890139 | Zalak Daftary | Dentist | 12245 Ne 3rd Pl, Bellevue, WA 98005-4821 | 2016-06-02 |
| 1659735199 | F Dahm Dds Pllc | Dentist | 1951 152nd Pl Ne Ste 108, Bellevue, WA 98007-4209 | 2016-04-11 |
| 1174923817 | Hyunji Byun | Dentist | 5723 111th Ave Se, Bellevue, WA 98006-2609 | 2014-08-29 |
| 1225447436 | Quirt Family Dentistry, Sc | Dentist | 2014 Lime Kiln Rd, Suite 300, Bellevue, WI 54311 | 2014-08-13 |
| 1679904353 | David Aronowitz | Dentist | 3006 Northup Way Ste 102, Bellevue, WA 98004-1445 | 2013-12-06 |
| 1407291537 | Lake Bellevue Dental Care, Inc | Dentist | 1 Lake Bellevue Dr Ste 108, Bellevue, WA 98005-2417 | 2013-05-02 |
| Find all providers in BELLEVUE | ||||
Please comment or provide details below to improve the information on DR. KEVIN S WALL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.