Lilly, Kevin R.

Lilly, Kevin R. is an individual health care provider with primary practice located at 2100 Indian Hills Dr , Sioux City IA 51104-1604. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lilly, Kevin R. can be contacted via phone (712) 239-5125.

Contact Information

Primary practice address
2100 Indian Hills Dr Sioux City IA 51104-1604
Phone: (712) 239-5125
Fax: (712) 239-2275
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7577 Iowa

Profile Details

NPI number 1598840704
LBN Legal business name Lilly, Kevin R.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jul 9th, 2007 - about 19 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 1598840704 NPPES
Nebraska MEDICAID 42149078200
Nebraska MEDICAID 1106369

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