Nelson, Kenneth W.
Nelson, Kenneth W. is an sole proprietor health care provider with primary practice located at 1919 N Webb Rd , Wichita KS 67206-3405. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Nelson, Kenneth W. can be contacted via phone (316) 634-1414.Contact Information
Primary practice address
1919 N Webb Rd
Wichita KS 67206-3405
Phone: (316) 634-1414
Fax: (316) 634-2907
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 5149 | Kansas |
Profile Details
| NPI number | 1538183900 |
|---|---|
| LBN Legal business name | Nelson, Kenneth W. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jul 16th, 2010 - about 14 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 | 1538183900 | NPPES |
| Kansas | MEDICAID | 100097110A |
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