Lovell, Kevin Lee

Lovell, Kevin Lee is an individual health care provider with primary practice located at 3319 Terrace Ct , Wausau WI 54401. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Lovell, Kevin Lee can be contacted via phone (715) 842-4880.

Contact Information

Primary practice address
3319 Terrace Ct Wausau WI 54401
Phone: (715) 842-4880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2617 Wisconsin

Profile Details

NPI number 1225106958
LBN Legal business name Lovell, Kevin Lee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225106958 NPPES
Wisconsin Other 33424400 TITLE 19 MEDICAL ASSISTAN

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