Morrill, Kevin Wilson

Morrill, Kevin Wilson is an individual health care provider with primary practice located at 2141 Eastern Pkwy , Schenectady NY 12309-6347. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Morrill, Kevin Wilson can be contacted via phone (518) 372-2859.

Contact Information

Primary practice address
2141 Eastern Pkwy Schenectady NY 12309-6347
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 044618 New York

Profile Details

NPI number 1639201817
LBN Legal business name Morrill, Kevin Wilson
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
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 1639201817 NPPES
New York MEDICAID 01471952

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