Clemmons, Billy Kevin
Clemmons, Billy Kevin is an sole proprietor health care provider with primary practice located at 1042 Fairview Ave Suite C, Bowling Green KY 42103-1677. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Clemmons, Billy Kevin can be contacted via phone (270) 746-5880.Contact Information
Primary practice address
1042 Fairview Ave Suite C
Bowling Green KY 42103-1677
Phone: (270) 746-5880
Fax: (270) 746-5944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 6013 | Kentucky |
Profile Details
| NPI number | 1871640888 |
|---|---|
| LBN Legal business name | Clemmons, Billy Kevin |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Jun 15th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871640888 | NPPES |
| Kentucky | MEDICAID | 60060134 |
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